Organization Active NPI

Sna Medical PC

  • Contractor
  • Brooklyn, NY
National Provider Identifier
1255511457
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
221528 Issued in NY
Legal business name
SNA MEDICAL PC
Practice address
1711 Sheepshead Bay Rd Uppr Level
Brooklyn, NY 11235-3651
Phone
(718) 615-0014
Fax
(877) 739-5368
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Anna Yatskar, MDNPI 1750328688
Title
President
Phone
(718) 615-0014

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 221528 NY Primary

Addresses

Primary practice location

1711 Sheepshead Bay Rd Uppr Level
Brooklyn, NY 11235-3651

Mailing address

86 Bell Point Dr
Brooklyn, NY 11234-6328
Phone (718) 615-0014

Other practice location 1

1601 Gravesend Neck Rd
Brooklyn, NY 11229-4426
Phone (718) 714-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000122 NY Part B Supplier - Clinic/Group Practice 8820167901 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1255511457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BELL POINT DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346328",
            "telephone_number": "718-615-0014",
            "fax_number": "877-739-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SHEEPSHEAD BAY RD UPPR LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353651",
            "telephone_number": "718-615-0014",
            "fax_number": "877-739-5368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Gravesend Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112294426",
            "country_code": "US",
            "telephone_number": "718-714-0700",
            "fax_number": "718-934-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SNA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "YATSKAR",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-615-0014",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "NY",
            "license": "221528",
            "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 Mar 17, 2018; 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.