QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1184138091
Surgery - Vascular Surgery in Forest Hills, NY
About Queens Professional Medical Services Of New York Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI 1184138091) is a healthcare organization registered as a vascular surgery in Forest Hills, New York and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Yan Katsnelson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Queens 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
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Queens Professional Medical Services Of New York LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 21Source: 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 33D2157754
Queens Professional Medical Services Of New York LLC · Forest Hills, 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 Queens Professional Medical Services Of New York LLC's NPI number?
The NPI number for Queens Professional Medical Services Of New York LLC is 1184138091. It was assigned to this organization in the NPPES registry on November 30, 2017.
Where is Queens Professional Medical Services Of New York LLC located?
Queens Professional Medical Services Of New York LLC is located at 11602 Queens Blvd Ste A, Forest Hills, NY 11375. The listed phone number is (718) 301-1100.
What is Queens 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 Queens Professional Medical Services Of New York LLC enrolled in Medicare?
Yes. Queens Professional Medical Services Of New York LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Queens Professional Medical Services Of New York LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 9 Medicare specialties reassign their Medicare billing to Queens 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 Vascular Surgery (5), Diagnostic Radiology (4) and General Surgery (4). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Queens Professional Medical Services Of New York LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2157754) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Queens Professional Medical Services Of New York LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Queens Professional Medical Services Of New York Llc · NPI 1184138091
Vascular Surgery organization in Forest Hills, New York. Organization record, active in the CMS NPPES registry since November 30, 2017.
## Identity
- **NPI:** 1184138091 (Entity type: Organization)
- **Enumerated:** November 30, 2017
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Yan Katsnelson, CEO
## Practice location
- **Address:** 11602 QUEENS BLVD STE A, Forest Hills, NY 11375-7055
- **Phone:** (718) 301-1100 · **Fax:** (224) 235-4652
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Vascular Surgery (5), Diagnostic Radiology (4), General Surgery (4); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1184138091/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184138091) · Data from the CMS NPPES public registry.