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THE SPINE AND PAIN INSTITUTE OF NEW YORK
NPI 1164865911
Nurse Practitioner - Family in Staten Island, NY

Active since April 11, 2013
1534 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 667-3577 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Spine And Pain Institute Of New York NPPES

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

THE SPINE AND PAIN INSTITUTE OF NEW YORK (NPI 1164865911) is a healthcare organization registered as a family in Staten Island, New York and active in the NPI registry since April 2013. The organization lists Irina Dynov, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1164865911
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE SPINE AND PAIN INSTITUTE OF NEW YORK
Location Address1534 VICTORY BLVDStaten Island, NY 10314-3548
Mailing Address1534 Victory BlvdStaten Island, NY 10314-3548 · (718) 667-3577
Phone(718) 667-3577
Organization SubpartNo
Authorized OfficialIrina DynovNurse Practitioner · (718) 667-3577
Enumeration DateApril 11, 2013
✔ NPI 1164865911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 33337627
1534 VICTORY BLVD, Staten Island, NY 10314
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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 20

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

GCG ANESTHESIA, LLC
Anesthesiology
1534 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 987-3338
IRINA LITVIN D.O.
Internal Medicine (Rheumatology)
1534 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 447-0055
MR. KEYVAN JAHANBAKHSH MD
Pain Medicine (Pain Medicine)
1534 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 667-3577
MANJULA CHAVA PA
Physician Assistant
1534 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 667-3577
SPINE & PAIN CONSTULANTS
Physician Assistant (Medical)
1534 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 667-3577
VICTORY AMBULATROY SERVICES, LLC
Clinic/Center (Ambulatory Surgical)
1534 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 667-3577
1534 VICTORY DME, LLC
Durable Medical Equipment & Medical Supplies
1534 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 667-3577
SPINE AND PAIN CONSULTANT, PLLC
Anesthesiology (Pain Medicine)
1534 VICTORY BLVD
STATEN ISLAND, NY 10314
Richmond County (718) 667-3577

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 The Spine And Pain Institute Of New York's NPI number?

The NPI number for The Spine And Pain Institute Of New York is 1164865911. It was assigned to this organization in the NPPES registry on April 11, 2013.

Where is The Spine And Pain Institute Of New York located?

The Spine And Pain Institute Of New York is located at 1534 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 667-3577.

What is The Spine And Pain Institute Of New York's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for The Spine And Pain Institute Of New York was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.