Lynn Vein Clinic, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LYNN VEIN CLINIC, LLC

Practice address

121 Broad St
Lynn, MA 01901-1629

Phone

(847) 593-8460

Fax

(224) 246-8042

NPI assigned

Sep 10, 2013

Last updated

Sep 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yan Katsnelson, M.D.NPI 1285672840

Title

Owner

Phone

(847) 593-8460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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.

• Robert J Rizzo, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynn, MA
  • NPI 1881619641
  Medicare reassignment NPD
• Yan Katsnelson, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Elk Grove Village, IL
  • NPI 1285672840
  Authorized official Same address or phone

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1255766283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011629",
            "telephone_number": "847-593-8460",
            "fax_number": "224-246-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BROAD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011629",
            "telephone_number": "847-593-8460",
            "fax_number": "224-246-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN VEIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-593-8460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Shore Rest Home NP, Inc. (Lynn Shore Rest Home)
• Lynn Shore Rest Home, Inc
• Lynn Smiles Youth Dentistry, LLC
• Lynn Urgent Care LLC
• Lynn Urgent Care LLC
• Lynn Zabota Adult Day Care, Inc.
• Kerry Macdonald
• Quinn Robertson Macdougald, MD
• Irene E Machuca
• Esther Mackenzie, CNP

• Specialist in Lynn, MA
• Providers in Lynn, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.