Shao Medical P.C.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SHAO MEDICAL P.C.

Practice address

9745 63Rd Dr Ste 1D
Rego Park, NY 11374-3344

Phone

(646) 897-2461

Fax

(718) 691-7982

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Yining Shao, MDNPI 1790277051

Title

President

Phone

(646) 897-2461

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Yining Shao, MD, PHARMD

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1790277051

  Pain Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1073342689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13835 39TH AVE APT 4E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 63RD DR STE 1D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743344",
            "telephone_number": "646-897-2461",
            "fax_number": "718-691-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAO MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "SHAO",
        "authorized_official_first_name": "YINING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-897-2461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Shamalov
• Vyacheslav Shamalov, M.D.
• Yelena A Shamalova, OT
• Roza Shamuelova, OTR/L
• Quanisha J Shannon, PMHNP-BC
• Deborah Shapiro, LMSW
• Yuliya Shapirshteyn, CCC-SLP
• Nadia Sharon
• Rushel Shaulov, PHARM. D
• Pavel Shchegol

• Pain Clinic/Center in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Pain Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.