Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spine and Pain Consultant, PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1336643600

Spine and Pain Consultant, PLLC provides Pain Medicine (Anesthesiology) Physician services in Staten Island, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1534 Victory Blvd
Staten Island, NY 10314-3548
Phone: (718) 667-3577
Fax: (718) 351-7151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 233952 (NY)
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1336643600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Chapman — Director · (718) 667-3577
NPI enumeratedMarch 21, 2018
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing address1360 Hylan Blvd, Staten Island, NY 10305-1922

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