Active NPI
USA Medical of Manhattan LLC
- Vascular Surgery Physician
- New York, NY
National Provider Identifier
1114277175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- USA MEDICAL OF MANHATTAN LLC
- Practice address
- 1153 1St Ave
New York, NY 10065-7768 - Phone
- (646) 386-2250
- Fax
- (888) 621-3330
- NPI assigned
- Sep 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Flora Katsnelson, MD
- Title
- Owner
- Phone
- (646) 386-2250
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
1153 1St Ave
New York, NY 10065-7768
Mailing address
PO Box 32
Northbrook, IL 60065-0032
Phone (646) 386-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2157740 | USA Medical of Manhattan LLC | Certificate of waiver | Nov 12, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular Surgery Physician
- Astoria, NY
- NPI 1902000995
-
- Vascular & Interventional Radiology Physician
- New York, NY
- NPI 1093760266
-
- Vascular Surgery Physician
- Syracuse, NY
- NPI 1609076629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347840000000",
"number": "1114277175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600650032",
"telephone_number": "646-386-2250",
"fax_number": "888-621-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1153 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657768",
"telephone_number": "646-386-2250",
"fax_number": "888-621-3330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "USA MEDICAL OF MANHATTAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A",
"authorized_official_last_name": "KATSNELSON",
"authorized_official_first_name": "FLORA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-386-2250",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.