St. Nicholas Medical of New York, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ST. NICHOLAS MEDICAL OF NEW YORK, LLC

Practice address

1264 Saint Nicholas Ave Ste B
New York, NY 10033

Phone

(718) 301-1100

Fax

(224) 246-8042

NPI assigned

Apr 17, 2017

Last updated

May 24, 2018By 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

Yan Katsnelson, MD

Title

Ceo

Phone

(847) 257-1244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 11

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.

• Jeffrey Craig Hellinger, MD

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1861443350
  Medicare reassignment NPD
• Joseph C Iraci, M.D.

  • Surgery Physician
  • New York, NY
  • NPI 1669563730
  Medicare reassignment NPD
• Igal Breitman, MD

  • Surgery Physician
  • Rockford, IL
  • NPI 1881973014

  NY

  Medicare reassignment NPD
• Joseph E Graham, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ogden, UT
  • NPI 1578638383

  NY

  Medicare reassignment NPD
• Raghavendra Rao S Sathyanarayana Rao, M.D

  • Surgery Physician
  • Chicago, IL
  • NPI 1053753608

  NY

  Medicare reassignment NPD
• Sanjeev Saxena, MD

  • Cardiovascular Disease Physician
  • Zephyrhills, FL
  • NPI 1093701120

  NY, Single Specialty

  Medicare reassignment NPD
• Glenn Rory Faust, MD

  • Vascular Surgery Physician
  • East Meadow, NY
  • NPI 1003986456
  Medicare reassignment
• Masahiko Satoda, MD

  • Phlebology Physician
  • Brooklyn, NY
  • NPI 1841031648
  NPD (past)
• Stephanie Spano, MD

  • Vascular & Interventional Radiology Physician
  • Bronx, NY
  • NPI 1538515523
  NPD (past)
• Lindita N Coku, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bloomington, IN
  • NPI 1134394745
  NPD (past)
• Kimberly Christine McFarland, M.D.

  • Vascular & Interventional Radiology Physician
  • Temecula, CA
  • NPI 1609135946
  NPD (past)

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1316471352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621900",
            "telephone_number": "847-257-1244",
            "fax_number": "224-246-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 SAINT NICHOLAS AVE STE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "718-301-1100",
            "fax_number": "224-246-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. NICHOLAS MEDICAL OF NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-257-1244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Marks Physical Therapy, P.C
• St. Marks Place
• St. Mary's Center, Inc
• St. Mary's Center, Inc
• St. Marys Center Inc
• St. Nicholas Pediatrics, PC
• St. Nicholas Professional Medical Services of New York LLC
• Sarah Jean St. Onge, PH.D.
• Ryan Edward St. Pierre-Hetz, MD
• Tara-Germaine St. Rose, NP

• Vascular Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.