Valley Stream Professional Medical Services, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC

Practice address

260 W Sunrise Hwy
Valley Stream, NY 11581-1011

Phone

(718) 310-1100

Fax

(224) 246-8042

NPI assigned

Jan 8, 2015

Last updated

Jan 8, 2015By 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

Yab Katsnelson, MD

Title

Owner

Phone

(847) 257-1244

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

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.

• Sergio Alejandro Ramirez, M.D.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1811281439
  Medicare reassignment Care Compare group NPD
• Jacob White, MD

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1386969210
  Medicare reassignment Care Compare group
• Dallas Broadway, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1366646416

  Vascular & Interventional Radiology

  Medicare reassignment NPD
• Matthew H. Smith, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1275869729

  NY, Vascular & Interventional Radiology

  Medicare reassignment NPD
• Michael C Banker, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
  • NPI 1033157169
  Medicare reassignment
• Richard Di Fiore, MD

  • Vascular Surgery Physician
  • Astoria, NY
  • NPI 1902000995
  Medicare reassignment
• Alexander Gart, MD

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1376610758
  Medicare reassignment
• Jeffrey Gunzenhauser, MD

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1205829181
  Medicare reassignment
• Stephen G Hurst, M.D.

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1568473700
  Medicare reassignment
• Gina L. Louie, MD

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1093760266
  Medicare reassignment
• Jeromy Ryan Patterson, M.D.

  • Surgery Physician
  • Forest Hills, NY
  • NPI 1770877953
  Medicare reassignment
• Aaron Dov Reichman, M.D.

  • Vascular & Interventional Radiology Physician
  • Jamaica, NY
  • NPI 1487791927
  Medicare reassignment

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1356739668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622129",
            "telephone_number": "847-257-1244",
            "fax_number": "224-245-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811011",
            "telephone_number": "718-310-1100",
            "fax_number": "224-246-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STREAM PROFESSIONAL MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-257-1244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Stream Optometric Services PC
• Valley Stream Optometry PLLC (Howard Eyecare)
• Valley Stream Pharmacy Inc (Valley Stream Pharmacy)
• Valley Stream Pharmacy Inc (Valley Stream Pharmacy)
• Valley Stream Physical Therapy, P.C.
• Valley Stream RX Inc
• Valley Stream Ufsd #24
• Valley Stream Ufsd 13
• Valley Stream Ufsd 30
• Valley Vision Corp

• Vascular Surgery Physician in Valley Stream, NY
• Providers in Valley Stream, 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 Jan 8, 2015; 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.

Verify at the official NPI Registry.