Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

New York Interventional Spine and Pain Medicine PC

Organization Medical Specialty Clinic/Center · NPI 1235484726

New York Interventional Spine and Pain Medicine PC is a Medical Specialty Clinic/Center in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

405 5th Ave
Brooklyn, NY 11215-3315
Phone: (646) 732-7139
Fax: (718) 768-7303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X · Licence 251646 (NY)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 251646 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 000135 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 003681 (NY)

Record details

NPI number1235484726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abdulquader Khan — President · (646) 732-7139
NPI enumeratedJuly 20, 2012
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address405 5th Ave, Brooklyn, NY 11215-3315

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