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ADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC
NPI 1124102603
Specialist in Staten Island, NY

Active since October 24, 2006
565 JEWETT AVE, STATEN ISLAND, NY 10302(718) 701-6010(718) 447-7831 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Spine Care And Pain Management Of New York Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC (NPI 1124102603) is a healthcare organization registered as a specialist in Staten Island, New York and active in the NPI registry since October 2006. The organization lists Shailesh S Pathare, Owner, as its authorized official.

NPPES Registry Identity

NPI1124102603
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED SPINE CARE AND PAIN MANAGEMENT OF NEW YORK PC
Location Address565 JEWETT AVEStaten Island, NY 10302-2654
Mailing Address565 Jewett AveStaten Island, NY 10302-2654 · (718) 701-6010 · Fax (718) 447-7831
Phone(718) 701-6010
Fax(718) 447-7831
Organization SubpartNo
Authorized OfficialShailesh S PathareOwner · (718) 818-4892
Enumeration DateOctober 24, 2006
Last NPPES UpdateApril 28, 2021
NPPES CertifiedApril 28, 2021
✔ NPI 1124102603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
565 JEWETT AVE, Staten Island, NY 10302
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Other Identifiers 9

Other0012J1NY · Empire Bc Bs
Other355618300NY · Us Dept Of Labor
OtherDA0552NY · Railroad Medicare
Other4C4399NY · Phs/healthnet
Medicaid02006962NY
Other173446NY · Elderplan
Other205677NY · Hip
Other8799893NY · Ghi
OtherP1883750NY · Oxford

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAILESH SURESH PATHARE M.D.
Specialist
565 JEWETT AVE
STATEN ISLAND, NY 10302
Richmond County (718) 701-6010
S. PATHARE, M.D., PLLC
Physical Medicine & Rehabilitation (Pain Medicine)
565 JEWETT AVE
STATEN ISLAND, NY 10302
Richmond County (718) 701-6010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Spine Care And Pain Management Of New York PC's NPI number?

The NPI number for Advanced Spine Care And Pain Management Of New York PC is 1124102603. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Advanced Spine Care And Pain Management Of New York PC located?

Advanced Spine Care And Pain Management Of New York PC is located at 565 Jewett Ave, Staten Island, NY 10302. The listed phone number is (718) 701-6010.

What is Advanced Spine Care And Pain Management Of New York PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Advanced Spine Care And Pain Management Of New York PC was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.