ST. NICHOLAS MEDICAL OF NEW YORK, LLC – NPI #1316471352
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

ST. NICHOLAS MEDICAL OF NEW YORK, LLC is a surgeon located in NEW YORK, NY. NPPES has assigned the NPI number 1316471352 to ST. NICHOLAS MEDICAL OF NEW YORK, LLC on April 17, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 8 years ago on May 24, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST. NICHOLAS MEDICAL OF NEW YORK, LLC below.

NPI Profile for
ST. NICHOLAS MEDICAL OF NEW YORK, LLC

NPI Number
1316471352
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. NICHOLAS MEDICAL OF NEW YORK, LLC
Primary location
1264 SAINT NICHOLAS AVE STE B
NEW YORK, NY 10033
Phone: (718) 301-1100 Fax: (224) 246-8042
Mailing address
304 WAINWRIGHT DR
NORTHBROOK, IL 60062-1900
Phone: (847) 257-1244 Fax: (224) 246-8042
Organization Subpart
No
Authorized Official
YAN KATSNELSON
CEO
Phone: (847) 257-1244
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.