Active NPI
Pagoda Medical PC
- Physical Medicine & Rehabilitation Physician
- Staten Island, NY
National Provider Identifier
1023523602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 275175
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anatoly Shnayder
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03982363 | Medicaid | NY |
Other names 1
- Anatoly Shnayder MD
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Freehold, NJ
- NPI 1306164421
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.