FORDHAM MEDICAL OF NEW YORK LLC
NPI 1205332905
Surgery - Vascular Surgery in Bronx, NY

Active since April 02, 2018
11 E FORDHAM RD STE B, BRONX, NY 10468(224) 318-0118(224) 235-4652 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fordham Medical Of New York Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORDHAM MEDICAL OF NEW YORK LLC (NPI 1205332905) is a healthcare organization registered as a vascular surgery in Bronx, New York and active in the NPI registry since April 2018. The organization lists Flora Katsnelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1205332905
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameFORDHAM MEDICAL OF NEW YORK LLC
Location Address11 E FORDHAM RD STE BBronx, NY 10468-5406
Mailing Address304 Wainwright Dr Ste 110Northbrook, IL 60062-1919 · (224) 318-0118 · Fax (224) 235-4652
Fax(224) 235-4652
Organization SubpartNo
Authorized OfficialFlora KatsnelsonOwner · (847) 772-0089
Enumeration DateApril 2, 2018
✔ NPI 1205332905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
11 E FORDHAM RD STE B, Bronx, NY 10468

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fordham Medical Of New York Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Fordham Medical Of New York LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

General Surgery18
Interventional Radiology5
Emergency Medicine3
Thoracic Surgery3
Vascular Surgery3
Cardiovascular Disease (Cardiology)2
Diagnostic Radiology2
Family Practice2
5 other specialties7

Nearest to this location (20)

See all 45
Interventional Radiology
NPI 1538515523
11 E FORDHAM RD
Bronx, NY 10468
(855) 615-2555
✔ PECOSSame address
Internal Medicine
NPI 1205891405
2015 GRAND CONCOURSE
Bronx, NY 10453
(718) 583-7736
✔ PECOS✔ Accepts Medicare0.8 mi
Interventional Radiology
NPI 1962494997
127 SOUTH BROADWAY
Yonkers, NY 10701
(952) 595-1100
✔ PECOS✔ Accepts Medicare4.6 mi
General Surgery
NPI 1568552016
26 PONDFIELD RD W
Bronxville, NY 10708
(914) 961-1212
✔ PECOS✔ Accepts Medicare6.5 mi
Emergency Medicine
NPI 1053706721
3019 CRESCENT ST
Astoria, NY 11102
(718) 267-4285
✔ PECOS✔ Accepts Medicare6.7 mi
Diagnostic Radiology
NPI 1861443350
61 E 77TH ST LENOX HILL RADIOLOGY
New York, NY 10075
(212) 772-3111
✔ PECOS✔ Accepts Medicare6.9 mi
Family Practice
NPI 1902000995
3033 STEINWAY ST
Astoria, NY 11103
(718) 874-9778
✔ PECOS✔ Accepts Medicare6.9 mi
General Surgery
NPI 1669563730
122 E 76TH ST OFC 1B
New York, NY 10021
(212) 628-8771
✔ PECOS✔ Accepts Medicare7.0 mi
Interventional Radiology
NPI 1093760266
1153 1ST AVE
New York, NY 10065
(646) 386-2250
✔ PECOS✔ Accepts Medicare7.6 mi
General Surgery
NPI 1770877953
11602 QUEENS BLVD STE A
Forest Hills, NY 11375
(718) 301-1100
✔ PECOS✔ Accepts Medicare11 mi
General Surgery
NPI 1518959212
1165 NORTHERN BLVD SUITE 303
Manhasset, NY 11030
(516) 627-0303
✔ PECOS11 mi
General Practice
NPI 1922442359
30 FRANKLIN AVE
Franklin Square, NY 11010
(516) 352-0253
✔ PECOS✔ Accepts Medicare16 mi
Hospitalist
NPI 1740787357
100 MACKAY PL
Brooklyn, NY 11209
(914) 563-7477
✔ PECOS✔ Accepts Medicare17 mi
Interventional Radiology
NPI 1861497224
29 E 29TH ST VASCULAR CENTER
Bayonne, NJ 07002
(201) 858-4590
✔ PECOS✔ Accepts Medicare17 mi
Cardiovascular Disease (Cardiology)
NPI 1700893393
2511 OCEAN AVE STE 102
Brooklyn, NY 11229
(718) 504-6044
✔ PECOS✔ Accepts Medicare18 mi
Interventional Cardiology
NPI 1841031648
2444 86TH ST STE C
Brooklyn, NY 11214
(718) 878-4303
✔ PECOS19 mi
Diagnostic Radiology
NPI 1205829181
2444 86TH ST
Brooklyn, NY 11214
(570) 888-5858
✔ PECOS19 mi
Thoracic Surgery
NPI 1033157169
2965 OCEAN PKWY STE 200
Brooklyn, NY 11235
(718) 280-5573
✔ PECOS✔ Accepts Medicare20 mi
Vascular Surgery
NPI 1760587430
2965 OCEAN PKWY # 200
Brooklyn, NY 11235
(718) 280-5573
✔ PECOS✔ Accepts Medicare20 mi
General Practice
NPI 1003986456
2201 HEMPSTEAD TPKE
East Meadow, NY 11554
(516) 572-6705
✔ PECOS20 mi
See all 45 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Fordham Medical Of New York LLC's NPI number?

The NPI number for Fordham Medical Of New York LLC is 1205332905. It was assigned to this organization in the NPPES registry on April 2, 2018.

Where is Fordham Medical Of New York LLC located?

Fordham Medical Of New York LLC is located at 11 E Fordham Rd Ste B, Bronx, NY 10468. The listed phone number is (224) 318-0118.

What is Fordham Medical Of New York LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Fordham Medical Of New York LLC enrolled in Medicare?

Yes. Fordham Medical Of New York LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fordham Medical Of New York LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 13 Medicare specialties reassign their Medicare billing to Fordham Medical 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 General Surgery (18), Interventional Radiology (5) and Emergency Medicine (3). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fordham Medical Of New York LLC was last updated on April 2, 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.