Organization Active NPI

Spinal Pain & Rehab Medical, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Yonkers, NY
National Provider Identifier
1336343219
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
224276 Issued in NY
Legal business name
SPINAL PAIN & REHAB MEDICAL, P.C.
Practice address
970 North Broadway
Yonkers, NY 10701
Phone
(914) 207-1161
Fax
(914) 207-1162
NPI assigned
Jun 13, 2007
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Dr. Binod Prasad Shah, M.D.NPI 1346334604
Title
Doctor
Phone
(914) 330-2818

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
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 224276 NY Primary

Addresses

Primary practice location

970 North Broadway
Yonkers, NY 10701

Mailing address

14 Deerhill Lane
Scarsdale, NY 10583
Phone (142) 071-1619

Other practice location 1

1803 westchester ave
bronx, NY 10472
Phone (914) 207-1161

Other practice location 2

3418 Broadway
New York, NY 10031-7419
Phone (212) 283-2099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000187 NY Part B Supplier - Clinic/Group Practice 3375600109 Receives reassigned benefits from 8 practitioners
Practice locations: Bronx, NY; Yonkers, NY; New York, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2019805Spinal Pain & Rehab Medical, PC970 North Broadway, Suite 310, Yonkers, NY 10701Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory

Locations

1803 Westchester Ave
Bronx, NY 10472
Phone (718) 364-3322

1803 Westchester Ave
#B
Bronx, NY 10472
Phone (914) 207-1161

2475 Eastchester Rd
Bronx, NY 10469
Phone (718) 547-8967

3751 74th St
Jackson Heights, NY 11372
Phone (914) 207-1161

970 N Broadway
Ste 305B
Yonkers, NY 10701
Phone (914) 207-1161

984 N Broadway
Ste LL03
Yonkers, NY 10701
Phone (914) 344-6743

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1336343219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DEERHILL LANE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "142-071-1619",
            "fax_number": "914-207-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 NORTH BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-207-1161",
            "fax_number": "914-207-1162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 westchester ave",
            "address_purpose": "LOCATION",
            "city": "bronx",
            "state": "NY",
            "postal_code": "10472",
            "country_code": "US",
            "telephone_number": "914-207-1161",
            "fax_number": "914-207-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3418 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100317419",
            "country_code": "US",
            "telephone_number": "212-283-2099",
            "fax_number": "212-234-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINAL PAIN & REHAB MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BINOD",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "914-330-2818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "224276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.