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

Spine and Pain Consultant, PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1477792232

Spine and Pain Consultant, PLLC is a Pain Medicine (Anesthesiology) Physician in Staten Island, New York. Works from 4 locations. Licensed in New York.

Licensed in
NY
In the registry since
2009
Specialties on file
3
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

1360 Hylan Blvd
Staten Island, NY 10305-1922
Phone: (186) 673-5777
Fax: (718) 351-7151
Show map & directions

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

Additional practice locations (3)

  • 1513 Voorhies Ave, Brooklyn, NY 11235-3913 — (718) 667-3577
  • 1 Hollow Ln Ste 102, New Hyde Park, NY 11042-1219 — (718) 667-3577
  • 860 5th Ave, New York, NY 10065-5856 — (718) 667-3577

Specialties & licences

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

Record details

NPI number1477792232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Chapman — Medical Director · (718) 667-3577
NPI enumeratedFebruary 18, 2009
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address1360 Hylan Blvd, Staten Island, NY 10305-1922

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