Advanced Spine Care and Pain Management of New York PC
NPI 1124102603ActiveOrganization· Specialist· Staten Island, NY
Specialist in Staten Island, New York, registered in NPPES in October 2006. The authorized official on file is Shailesh S. Pathare, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124102603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2006 |
| Last updated in NPPES | Apr 28, 2021 |
| Certified by provider | Apr 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Specialist providers in Staten Island
- 1538528179
- 1417211681
- 1629330113
- 1043452386
- 1669317004
- 1508980749
- 1386916963
- 1275616054
- 1174876478
- 1295713931
- 1386432870
- 1366894875