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

New York Pain Care Consultant PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1417251612

New York Pain Care Consultant PLLC is a Pain Medicine (Anesthesiology) Physician in Staten Island, New York. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1534 Victory Blvd
Staten Island, NY 10314-3529
Phone: (718) 667-3577
Fax: (718) 667-3043
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

Record details

NPI number1417251612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Chapman — Medical Doctor · (718) 667-3577
NPI enumeratedJanuary 3, 2011
Last updated in NPPESApril 15, 2013
Mailing address1534 Victory Blvd, Staten Island, NY 10314-3529

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