Organization Active NPI

USA Medical of New York LLC

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1063747236
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2427581 Issued in NY
Legal business name
USA MEDICAL OF NEW YORK LLC
Practice address
2511 Ocean Ave Ste 102
Brooklyn, NY 11229-3957
Phone
(718) 301-1100
Fax
(718) 301-1099
NPI assigned
Oct 6, 2009
Last updated
Oct 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Authorized official

Name
Dr. Flora Katsnelson, MD
Title
Owner
Phone
(718) 301-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 2427581 NY Primary

Addresses

Primary practice location

2511 Ocean Ave Ste 102
Brooklyn, NY 11229-3957

Mailing address

2511 Ocean Ave Ste 102
Brooklyn, NY 11229-3957
Phone (718) 301-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1063747236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 OCEAN AVE STE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293957",
            "telephone_number": "718-301-1100",
            "fax_number": "718-301-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 OCEAN AVE STE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293957",
            "telephone_number": "718-301-1100",
            "fax_number": "718-301-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA MEDICAL OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-301-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "2427581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.