OrganizationActive
Spine and Pain Consultant, PLLC
NPI 1043785181 · Pain Medicine (Anesthesiology) Physician · New York, NY
Provider details
- NPI number
- 1043785181
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spine and Pain Consultant, PLLC
- Organization subpart
- Yes
- Authorized official
- Kenneth Chapman, Medical Director(718) 667-3577
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
860 5th Ave Ste 1b
New York, NY 10065-5856
Phone: (212) 724-7246
Street-level locationGet directions
Mailing address
1360 Hylan Blvd
Staten Island, NY 10305-1922
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2023-01-27
- Certified
- 2023-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.