Active NPI
Rossville Professional Medical Services of New York LLC
- Diagnostic Radiology Physician
- New York, NY
National Provider Identifier
1679285019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ROSSVILLE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
- Practice address
- 1974 1St Ave Ste 1
New York, NY 10029-6430 - Phone
- (847) 593-8460
- NPI assigned
- Dec 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yan Katsnelson
- Title
- Ceo
- Phone
- (847) 593-8460
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
1974 1St Ave Ste 1
New York, NY 10029-6430
Mailing address
PO Box 32
Northbrook, IL 60065-0032
National Provider Directory
National Provider DirectoryLocations
1974 1st Ave
Ste 1
New York, NY 10029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1679285019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600650032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1974 1ST AVE STE 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296430",
"telephone_number": "847-593-8460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSSVILLE PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "KATSNELSON",
"authorized_official_first_name": "YAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-593-8460"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.