Organization Active NPI

Pagoda Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Staten Island, NY
National Provider Identifier
1023523602
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
275175 Issued in NY
Legal business name
PAGODA MEDICAL PC
Practice address
399 Lake Ave FL 1
Staten Island, NY 10303-2640
Phone
(732) 205-1707
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anatoly ShnayderNPI 1306164421
Title
MD
Phone
(347) 933-9089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 275175 NY Primary

Addresses

Primary practice location

399 Lake Ave FL 1
Staten Island, NY 10303-2640

Mailing address

399 Lake Ave FL 1
Staten Island, NY 10303-2640
Phone (347) 933-9089

Other identifiers 1

IdentifierTypeStateIssuer
03982363MedicaidNY

Other names 1

  • Anatoly Shnayder MD Doing business as

National Provider Directory

National Provider Directory

Locations

399 Lake Ave
Fl 1
Staten Island, NY 10303

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1023523602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 LAKE AVE FL 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032640",
            "telephone_number": "347-933-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 LAKE AVE FL 1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032640",
            "telephone_number": "732-205-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGODA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "SHNAYDER",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "347-933-9089"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "275175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03982363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anatoly Shnayder MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.