Active NPI
Spinal Pain & Rehab Medical, P.C.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Yonkers, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 224276
- 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, 2019
- 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
- Dr. Binod Prasad Shah, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2019805 | Spinal Pain & Rehab Medical, PC | Certificate of waiver | Feb 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Yonkers, NY
- NPI 1346334604
-
- Clinical Social Worker
- New Rochelle, NY
- NPI 1972950855
-
- Physical Therapist
- Yonkers, NY
- NPI 1104163385
-
- Physical Medicine & Rehabilitation Physician
- Yonkers, NY
- NPI 1326078460
-
- Physical Medicine & Rehabilitation Physician
- Yonkers, NY
- NPI 1336233691
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Yonkers, NY
- NPI 1760825210
-
- Physical Medicine & Rehabilitation Physician
- Syracuse, NY
- NPI 1437243797
-
- Medical Physician Assistant
- New York, NY
- NPI 1679894638
-
- Physical Medicine & Rehabilitation Physician
- Bellerose, NY
- NPI 1447571393
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1891938825
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.