Bushwick Medical of New York LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

BUSHWICK MEDICAL OF NEW YORK LLC

Practice address

441 Knickerbocker Ave Ste B
Brooklyn, NY 11237-4508

Phone

(347) 773-2684

Fax

(718) 261-3893

NPI assigned

Jul 20, 2018

Last updated

Jul 20, 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

Flora Katsnelson, M.D.

Title

Owner

Phone

(847) 772-0089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 61

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.

• Chukwuemeka John Onwuzuruigbo, M.D.

  • Surgery Physician
  • South Setauket, NY
  • NPI 1760582746
  Medicare reassignment Care Compare group NPD
• Sergio Alejandro Ramirez, M.D.

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1811281439
  Medicare reassignment Care Compare group NPD
• Masahiko Satoda, MD

  • Phlebology Physician
  • Brooklyn, NY
  • NPI 1841031648
  Medicare reassignment Care Compare group NPD
• Randi Harris, M.D.

  • Vascular Surgery Physician
  • Rochester, MN
  • NPI 1376997536

  NY

  Medicare reassignment Care Compare group NPD
• Matthew H. Smith, MD

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1275869729

  NY

  Medicare reassignment Care Compare group NPD
• Matthew Yongwon Suh, MD

  • Surgical Oncology Physician
  • Newton, NJ
  • NPI 1720085707

  NY

  Medicare reassignment Care Compare group NPD
• John Babalola, M.D.

  • Surgery Physician
  • Valley Stream, NY
  • NPI 1487613626
  Medicare reassignment Care Compare group
• Michael C Banker, MD

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

  • Vascular Surgery Physician
  • Astoria, NY
  • NPI 1902000995
  Medicare reassignment Care Compare group
• Glenn Rory Faust, MD

  • Vascular Surgery Physician
  • East Meadow, NY
  • NPI 1003986456
  Medicare reassignment Care Compare group
• Alexander Gart, MD

  • Vascular Surgery Physician
  • New York, NY
  • NPI 1376610758
  Medicare reassignment Care Compare group
• Jeffrey Craig Hellinger, MD

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1861443350
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1720565922",
    "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",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 KNICKERBOCKER AVE STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374508",
            "telephone_number": "347-773-2684",
            "fax_number": "718-261-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSHWICK MEDICAL OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-772-0089",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janille Kamisha Bushay, FNP
• Stanislav Bushik, MD
• Matthew Bushman
• Bushwick Center for Renal Dialysis, LLC
• Bushwick Economic Development Corp
• Bushwick Orthodontic Studio
• Bushwick Orthodontics PLLC (Diamond Braces)
• Bushwick Pharmacy, Inc.
• Bushwick Professional Medical Services of New York LLC
• Bushwick Quality Supplies LLC

• Vascular Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, 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 Jul 20, 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.