STATEN ISLAND MEDICAL OF NEW YORK, LLC – NPI #1669864369
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

STATEN ISLAND MEDICAL OF NEW YORK, LLC is a surgeon located in STATEN ISLAND, NY. NPPES has assigned the NPI number 1669864369 to STATEN ISLAND MEDICAL OF NEW YORK, LLC on March 04, 2015. 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 STATEN ISLAND MEDICAL OF NEW YORK, LLC below.

NPI Profile for
STATEN ISLAND MEDICAL OF NEW YORK, LLC

NPI Number
1669864369
Enumeration Date

(more than 11 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
STATEN ISLAND MEDICAL OF NEW YORK, LLC
Primary location
1975 HYLAN BLVD STE C
STATEN ISLAND, NY 10306
Phone: (847) 305-3346 Fax: (888) 979-6720
Mailing address
4141 DUNDEE RD
NORTHBROOK, IL 60062-2129
Phone: (847) 257-1244 Fax: (224) 246-8042
Organization Subpart
No
Authorized Official
YAN KATSNELSON
DIRECTOR
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.