Spine and Pain Consultant, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SPINE AND PAIN CONSULTANT, PLLC

Practice address

1360 Hylan Blvd
Staten Island, NY 10305-1922

Phone

(186) 673-5777

Fax

(718) 351-7151

NPI assigned

Feb 18, 2009

Last updated

Jul 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth B Chapman, MDNPI 1366494262

Title

Medical Director

Phone

(718) 667-3577

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 18

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.

• Kenneth B Chapman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Staten Island, NY
  • NPI 1366494262
  Medicare reassignment Care Compare group Authorized official
• Uel Joseph Alexis, M.D.

  • Anesthesiology Physician
  • Staten Island, NY
  • NPI 1275765851

  Pain Medicine

  Medicare reassignment Care Compare group NPD
• Briana Damora, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1700364106
  Medicare reassignment Care Compare group NPD
• Barthelemy Liabaud, M.D.

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1235592239
  Medicare reassignment Care Compare group NPD
• Lauren O'Shaughnessy, NP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1871126425
  Medicare reassignment Care Compare group NPD
• Ajax Yang, M.D.

  • Pain Medicine Physician
  • Staten Island, NY
  • NPI 1932155801
  Medicare reassignment Care Compare group NPD
• Kirsten Marie Besignano, NP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1265946255
  Medicare reassignment NPD
• Magdalena Cadet, MD

  • Rheumatology Physician
  • Forest Hills, NY
  • NPI 1659541860
  Medicare reassignment NPD
• Casey Grillo

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1801135942
  Medicare reassignment NPD
• Caroline Natalie Kardaszewski, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1083365845
  Medicare reassignment NPD
• Haiyan Li, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1871044180
  Medicare reassignment NPD
• Robert Otterbeck, M.D.

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1487064077
  Medicare reassignment NPD

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1477792232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051922",
            "telephone_number": "718-667-3577",
            "fax_number": "718-351-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051922",
            "telephone_number": "186-673-5777",
            "fax_number": "718-351-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100655856",
            "country_code": "US",
            "telephone_number": "718-667-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hollow Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421219",
            "country_code": "US",
            "telephone_number": "718-667-3577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1513 Voorhies Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353913",
            "country_code": "US",
            "telephone_number": "718-667-3577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE AND PAIN CONSULTANT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-667-3577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zvi S Spiler, LMSW
• Sydney Spilko
• Gary Spindler, DPM
• Spine & Pain Constulants
• Spine and Pain Consultant, PLLC
• Jean Spinelli, PHD
• Lisa Spinelli
• Mary Jean Spinelli, MD
• Emilie Rose Spino, PHARMD
• Alyssa Marie Spinosa, PA-C

• Pain Medicine (Anesthesiology) Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.