BUSHWICK PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1003393299
Surgery - Vascular Surgery in Brooklyn, NY
About Bushwick Professional Medical Services Of New York Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUSHWICK PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI 1003393299) is a healthcare organization registered as a vascular surgery in Brooklyn, New York and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Yan Katsnelson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bushwick Professional Medical Services Of New York Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Bushwick Professional Medical Services Of New York LLC, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 29Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2161180
Bushwick Professional Medical Services Of New York LLC · Brooklyn, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bushwick Professional Medical Services Of New York LLC's NPI number?
The NPI number for Bushwick Professional Medical Services Of New York LLC is 1003393299. It was assigned to this organization in the NPPES registry on July 20, 2018.
Where is Bushwick Professional Medical Services Of New York LLC located?
Bushwick Professional Medical Services Of New York LLC is located at 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237. The listed phone number is (347) 773-2684.
What is Bushwick Professional Medical Services Of New York LLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Bushwick Professional Medical Services Of New York LLC enrolled in Medicare?
Yes. Bushwick Professional Medical Services Of New York LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bushwick Professional Medical Services Of New York LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 10 Medicare specialties reassign their Medicare billing to Bushwick Professional Medical Services Of New York LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Interventional Radiology (6), General Surgery (5) and Vascular Surgery (5). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bushwick Professional Medical Services Of New York LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2161180) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bushwick Professional Medical Services Of New York LLC was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bushwick Professional Medical Services Of New York Llc · NPI 1003393299
Vascular Surgery organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since July 20, 2018.
## Identity
- **NPI:** 1003393299 (Entity type: Organization)
- **Enumerated:** July 20, 2018
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Yan Katsnelson, OWNER
## Practice location
- **Address:** 441 KNICKERBOCKER AVE STE A, Brooklyn, NY 11237-4508
- **Phone:** (347) 773-2684 · **Fax:** (718) 261-3893
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Radiology (6), General Surgery (5), Vascular Surgery (5); 13 practice within 10 miles; [full list](https://npiprofile.com/npi/1003393299/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003393299) · Data from the CMS NPPES public registry.