Jamaica Queens Professional Medical Services of New York LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

036105104 Issued in IL

Legal business name

JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC

Practice address

16203 Jamaica Ave Unit 200a
Jamaica, NY 11432

Phone

(718) 301-1100

Fax

(224) 246-8042

NPI assigned

Aug 25, 2017

Last updated

Jun 11, 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 18

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.

• Dallas Broadway, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1366646416
  Medicare reassignment NPD
• Jeffrey Craig Hellinger, MD

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1861443350
  Medicare reassignment NPD
• J Timothy Riley, M D

  • Vascular Surgery Physician
  • Syracuse, NY
  • NPI 1609076629
  Medicare reassignment NPD
• McCarthy George Smith, M.D.

  • Surgery Physician
  • Bronxville, NY
  • NPI 1568552016
  Medicare reassignment NPD
• Stephanie Spano, MD

  • Vascular & Interventional Radiology Physician
  • Bronx, NY
  • NPI 1538515523
  Medicare reassignment NPD
• Sanjeev Saxena, MD

  • Cardiovascular Disease Physician
  • Zephyrhills, FL
  • NPI 1093701120

  NY, Single Specialty

  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
• Chaim Israel Fishfeld, D.O.

  • Surgery Physician
  • Inwood, NY
  • NPI 1851454953
  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

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1578080966",
    "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": "16203 JAMAICA AVE UNIT 200A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-301-1100",
            "fax_number": "224-246-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2018-06-11",
        "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": "IL",
            "license": "036105104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamaica Pharmacy Inc.
• Jamaica Physical and Occupational Therapy PLLC
• Jamaica Physical Therapy, P.C.
• Jamaica Psychiatric Services, PC
• Jamaica Queens Medical of New York LLC
• Jamaica Senior Center Inc.
• Jamaica Service Program for Older Adults
• Jamaica Smile Design Dental P.C.
• Jamaica Vision Center Corp (Professional Eyecare Center)
• Jamaicarx Inc

• Vascular Surgery Physician in Jamaica, NY
• Providers in Jamaica, 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 Jun 11, 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.