Corona Medical of New York LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CORONA MEDICAL OF NEW YORK LLC

Practice address

4004 Forley Street
Jackson Heights, NY 11372

Phone

(718) 301-1100

Fax

(224) 246-8042

NPI assigned

Nov 15, 2016

Last updated

Dec 6, 2023By 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

Owner

Phone

(847) 257-1244

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 15

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.

• Michael C Banker, MD

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

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

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

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

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1568473700
  Medicare reassignment NPD
• Samir Iskhagi, M.D.

  • Transplant Surgery Physician
  • Syracuse, NY
  • NPI 1376811331
  Medicare reassignment NPD
• Gina L. Louie, MD

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1093760266
  Medicare reassignment NPD
• Eugene Palchik, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1760587430
  Medicare reassignment NPD
• Jeromy Ryan Patterson, M.D.

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

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

  • Surgery Physician
  • Sleepy Hollow, NY
  • NPI 1902067986
  Medicare reassignment NPD
• Jacob White, MD

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1386969210
  Medicare reassignment NPD

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1437691920",
    "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": "4004 FORLEY STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-301-1100",
            "fax_number": "224-246-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA MEDICAL OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-257-1244",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Cooper, PHARM.D.
• Karen Cordoba
• Leoniza Cordoba, B.A.
• Popi Coritsidis
• Corona Medical Associates
• Claudia Lucia Corona
• Braulio Federico Cosme-Thormann, MD
• Jessica Cosme
• Cosmos Total Optometry Care PLLC
• Cosmos Total Optometry Care PLLC (Cosmos Eye Care)

• Vascular Surgery Physician in Jackson Heights, NY
• Providers in Jackson Heights, 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 Dec 6, 2023; 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.