KENNETH B CHAPMAN MD PLLC
NPI 1811915416
Pain Medicine - Pain Medicine in Staten Island, NY

Active since July 18, 2006CLIA 33D1100696 · Waiver
1360 HYLAN BLVD, STATEN ISLAND, NY 10305(718) 667-3577(718) 351-7151 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2020, Feb 8, 2019, Jul 11, 2018 (3 updates tracked since 2018).

About Kenneth B Chapman Md Pllc NPPES

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

KENNETH B CHAPMAN MD PLLC (NPI 1811915416) is a healthcare organization registered as a pain medicine in Staten Island, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 28, 2027, maintains a secondary practice location in New York, and lists Kenneth Bradley Chapman, Chairman, as its authorized official.

NPPES Registry Identity

NPI1811915416
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameKENNETH B CHAPMAN MD PLLC
Location Address1360 HYLAN BLVDStaten Island, NY 10305
Mailing Address1360 Hylan BlvdStaten Island, NY 10305-1922 · (917) 868-3817 · Fax (718) 351-7151
Fax(718) 351-7151
Organization SubpartNo
Authorized OfficialKenneth Bradley ChapmanChairman · (917) 868-3817
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 20203 updates tracked since enumeration
NPPES CertifiedJuly 8, 2020
NPI 1811915416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
1360 HYLAN BLVD, Staten Island, NY 10305

Secondary Practice Location 1

Location 1860 5th Ave Ste 1BNew York, NY 10065-5856 · Phone (212) 724-7246 · Fax (718) 351-7151

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1100696

Kenneth B Chapman MD PLLC · New York, NY
Active · expires Jul 28, 2027
CLIA Number33D1100696
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorDr. Kenneth B. Chapman
Laboratory Phone(212) 724-7246
Laboratory LocationKenneth B Chapman MD PLLC860 5th Avenue, New York, NY 10065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Anesthesiology
1360 HYLAN BLVD
STATEN ISLAND, NY 10305
Nurse Practitioner (Family)
1360 HYLAN BLVD
STATEN ISLAND, NY 10305
Nurse Practitioner (Family)
1360 HYLAN BLVD
STATEN ISLAND, NY 10305
Anesthesiology
1360 HYLAN BLVD
STATEN ISLAND, NY 10305
Anesthesiology (Pain Medicine)
1360 HYLAN BLVD
STATEN ISLAND, NY 10305
Physician Assistant
1360 HYLAN BLVD
STATEN ISLAND, NY 10305
Nurse Practitioner (Psychiatric/Mental Health)
1360 HYLAN BLVD
STATEN ISLAND, NY 10305
Anesthesiology (Pain Medicine)
1360 HYLAN BLVD
STATEN ISLAND, NY 10305

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 Kenneth B Chapman MD PLLC's NPI number?

The NPI number for Kenneth B Chapman MD PLLC is 1811915416. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Kenneth B Chapman MD PLLC located?

Kenneth B Chapman MD PLLC is located at 1360 Hylan Blvd, Staten Island, NY 10305. The listed phone number is (718) 667-3577.

What is Kenneth B Chapman MD PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Does Kenneth B Chapman MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1100696) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth B Chapman MD PLLC was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.