NEW YORK SPINE AND WELLNESS CENTER
NPI 1841285996
Pain Medicine - Interventional Pain Medicine in North Syracuse, NY

Q: What is New York Anesthesiology Medical Specialties PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since September 14, 2005CLIA 33D1084608 · Certificate of Compliance

5496 E TAFT RD, NORTH SYRACUSE, NY 13212(315) 552-6700(315) 552-6701 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About New York Spine And Wellness Center NPPES

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

NEW YORK SPINE AND WELLNESS CENTER (NPI 1841285996) is a healthcare organization registered as an interventional pain medicine in North Syracuse, New York and active in the NPI registry since September 2005. The organization holds a CLIA Certificate of Compliance certificate valid through September 17, 2027 and lists Robert L Tiso, President, as its authorized official.

NPPES Registry Identity

NPI1841285996

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameNEW YORK ANESTHESIOLOGY MEDICAL SPECIALTIES PC

Location Address5496 E TAFT RDNorth Syracuse, NY 13212-3784

Mailing AddressPo Box 510Syracuse, NY 13214-0510 · (315) 703-3484 · Fax (315) 703-3487

Phone(315) 552-6700

Fax(315) 552-6701

Organization SubpartNo

Authorized OfficialRobert L TisoPresident · (315) 552-6700

Enumeration DateSeptember 14, 2005

Last NPPES UpdateFebruary 25, 2014

✔ NPI 1841285996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

5496 E TAFT RD, North Syracuse, NY 13212

Open in Google Maps ↗

Other Names 1

Doing Business AsNew York Spine And Wellness Center

Other Identifiers 2

Medicare NSC6293110002NY

Medicare PINAA0670

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 Compliance 33D1084608

New York Anesthesiology Medical Specialties Dba New York Spine And Wellness Center · North Syracuse, NY

Active · expires Sep 17, 2027

CLIA Number33D1084608

Laboratory TypePhysician Office

Certificate Effective DateSeptember 18, 2025

Certificate Expiration DateSeptember 17, 2027

Laboratory DirectorDr. Roy F. Huchzermeier

Laboratory Phone(315) 459-6824

Laboratory LocationNew York Anesthesiology Medical Specialties Dba New York Spine And Wellness Center5496 East Taft Road - Suite 2A, North Syracuse, NY 13212

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

MICHAEL J MARESCA LMT

Massage Therapist