BRIGHTON BEACH MEDICAL OF NEW YORK, LLC
NPI 1295194504
Surgery - Vascular Surgery in Brooklyn, NY

Active since February 15, 2016
2965 OCEAN PKWY, BROOKLYN, NY 11235(718) 301-1100(224) 246-8042 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brighton Beach Medical Of New York, Llc NPPES

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

BRIGHTON BEACH MEDICAL OF NEW YORK, LLC (NPI 1295194504) is a healthcare organization registered as a vascular surgery in Brooklyn, New York and active in the NPI registry since February 2016. The organization lists Flora Katsnelson, Director, as its authorized official.

NPPES Registry Identity

NPI1295194504
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameBRIGHTON BEACH MEDICAL OF NEW YORK, LLC
Location Address2965 OCEAN PKWYBrooklyn, NY 11235-8014
Mailing Address304 Wainwright DrNorthbrook, IL 60062-1900 · (847) 257-1244 · Fax (224) 246-8042
Fax(224) 246-8042
Organization SubpartNo
Authorized OfficialFlora KatsnelsonDirector · (847) 257-1244
Enumeration DateFebruary 15, 2016
✔ NPI 1295194504 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.
2965 OCEAN PKWY, Brooklyn, NY 11235

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Brighton Beach Medical Of New York, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

General Surgery
NPI 1376610758
161 FORT WASHINGTON AVE
New York, NY 10032
(212) 305-8665
✔ PECOS17 mi
Interventional Radiology
NPI 1386969210
1264 SAINT NICHOLAS AVE
New York, NY 10033
(347) 532-1845
✔ PECOS✔ Accepts Medicare18 mi
General Surgery
NPI 1902067986
358 N BROADWAY STE 101
Sleepy Hollow, NY 10591
(914) 810-4792
✔ PECOS✔ Accepts Medicare35 mi
General Surgery
NPI 1376811331
750 EAST ADAMS ST
Syracuse, NY 13210
(315) 464-9535
✔ PECOS✔ Accepts Medicare204 mi

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 Brighton Beach Medical Of New York, LLC's NPI number?

The NPI number for Brighton Beach Medical Of New York, LLC is 1295194504. It was assigned to this organization in the NPPES registry on February 15, 2016.

Where is Brighton Beach Medical Of New York, LLC located?

Brighton Beach Medical Of New York, LLC is located at 2965 Ocean Pkwy, Brooklyn, NY 11235. The listed phone number is (718) 301-1100.

What is Brighton Beach 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 Brighton Beach Medical Of New York, LLC enrolled in Medicare?

Yes. Brighton Beach Medical Of New York, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brighton Beach Medical Of New York, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Brighton Beach 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 (3) and Interventional Radiology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brighton Beach Medical Of New York, LLC was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.