Janice M Pavis, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

216379 Issued in NY

Practice address

1368 Clove Rd
Staten Island, NY 10301-4303

Phone

(718) 447-1183

Fax

(718) 447-7252

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185580800000",
    "number": "1376506972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014303",
            "telephone_number": "718-447-1183",
            "fax_number": "718-447-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014303",
            "telephone_number": "718-447-1183",
            "fax_number": "718-447-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVIS",
        "first_name": "JANICE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "216379",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "216379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princy Mary Paulose, PA-C
• Myles Paulson, LCSW
• Jennifer Pavelec, LMSW
• Amanda Pavia
• Carol Pavin, LCSW
• Pavlides & Benson OB/GYN Associates, PC
• Anna C Pavlides, MD
• Maria Pawlak
• Pax Christi Hospice, Inc.
• Yefim Paykin, OTR/L

• Interventional Pain Medicine Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2007; 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.