NPIMap

Organization Active NPI

Advanced Physical Medicine & Rehabilitation LLC

Doing business as Spinal & Skeletal Pain Medicine

  • Interventional Pain Medicine Physician
  • Utica, NY
National Provider Identifier
1851402127
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
ADVANCED PHYSICAL MEDICINE & REHABILITATION LLC
Doing business as
Spinal & Skeletal Pain Medicine
Practice address
110 Business Park Dr
Utica, NY 13502-6307
Phone
(315) 798-8737
Fax
(315) 732-1702
NPI assigned
Aug 31, 2006
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Mr. Nameer Haider, MDNPI 1295786150
Title
Authorized Signatory
Phone
(315) 798-8737

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

110 Business Park Dr
Utica, NY 13502-6307

Mailing address

110 Business Park Dr
Utica, NY 13502-6307
Phone (315) 798-8737

Other identifiers 2

IdentifierTypeStateIssuer
CG9418OtherPALMETTO RRB MEDICARE
0236681MedicaidNY

Other names 1

  • Spinal & Skeletal Pain Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824000366 NY Part B Supplier - Clinic/Group Practice 7517931736 Receives reassigned benefits from 7 practitioners
Practice locations: Utica, NY; Clinton, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1851402127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026307",
            "telephone_number": "315-798-8737",
            "fax_number": "315-732-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026307",
            "telephone_number": "315-798-8737",
            "fax_number": "315-732-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL MEDICINE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "NAMEER",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "315-798-8737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RRB MEDICARE",
            "identifier": "CG9418",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236681",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal & Skeletal Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spinal & Skeletal Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.