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

S. Pathare, MD, PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1629867890

S. Pathare, MD, PLLC is a Physical Medicine & Rehabilitation Physician in Staten Island, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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

565 Jewett Ave
Staten Island, NY 10302-2654
Phone: (718) 701-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X

Record details

NPI number1629867890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shailesh Pathare — Owner · (718) 701-6010
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address565 Jewett Ave, Staten Island, NY 10302-2654

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