Valley Stream Medical of New York, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

VALLEY STREAM MEDICAL OF NEW YORK, LLC

Practice address

2511 Ocean Ave
Suite 102
Brooklyn, NY 11229-3950

Phone

(718) 301-1100

Fax

(224) 246-8042

NPI assigned

Dec 24, 2014

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

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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
• Eugene Palchik, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1760587430
  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
• Robert Shirinov

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

  • Vascular & Interventional Radiology Physician
  • New York, NY
  • NPI 1386969210
  Medicare reassignment
• Sean Yetman, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brooklyn, NY
  • NPI 1700893393
  Medicare reassignment

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1891183950",
    "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": "847-593-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 OCEAN AVE",
            "address_2": "SUITE 102",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293950",
            "telephone_number": "718-301-1100",
            "fax_number": "224-246-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STREAM MEDICAL OF NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "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": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Valles-Mann
• Ariana Louise Valles
• Gladys Maria Vallespir Ellett, RN, IBCLC, LCCE
• Valley Psychological, PC
• Valley Stream Diagnostic Medicine P.C.
• Valley Stream Occupational Therapy P.C
• Agathi Vallianatos, M.D.
• Catherine Vallone, MS, CCC-SLP
• Pardha S Valluru, MD
• Geraldine Merry Valme-Daleus, FNP-BC

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.