NPIMap

Organization Active NPI

New York Advanced Surgical Intervention Care, PLLC

  • Pain Clinic/Center
  • Bronx, NY
National Provider Identifier
1457537227
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
201895 Issued in NY
Legal business name
NEW YORK ADVANCED SURGICAL INTERVENTION CARE, PLLC
Practice address
1250 Waters PL Ste 710
Bronx, NY 10461-2733
Phone
(718) 794-0600
Fax
(718) 684-5728
NPI assigned
Jan 11, 2008
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Sireen Gopal, MDNPI 1720183551
Title
Owner
Phone
(718) 794-0600

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 Clinic/Center 261QP3300X 201895 NY Primary

Addresses

Primary practice location

1250 Waters PL Ste 710
Bronx, NY 10461-2733

Mailing address

1250 Waters PL Ste 710
Bronx, NY 10461-2733
Phone (718) 794-0600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080513000164 NY Part B Supplier - Clinic/Group Practice 6901975218 Receives reassigned benefits from 9 practitioners
Practice locations: Bronx, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

1250 Waters Pl
Ste 710
Bronx, NY 10461
Phone (718) 684-5727

2008 Eastchester Rd
Bronx, NY 10461
Phone (718) 794-0600

2008 Eastchester Rd
#B
Bronx, NY 10461
Phone (718) 794-0600

Practitioners & affiliated clinicians

Practitioners 11

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": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1457537227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 710",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612733",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 710",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612733",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK ADVANCED SURGICAL INTERVENTION CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "GOPAL",
        "authorized_official_first_name": "SIREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-794-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "201895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.