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ST. NICHOLAS MEDICAL OF NEW YORK, LLC
NPI 1316471352
Surgery - Vascular Surgery in New York, NY

Active since April 17, 2017
1264 SAINT NICHOLAS AVE STE B, NEW YORK, NY 10033(718) 301-1100(224) 246-8042 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2018, Apr 17, 2017 (2 updates tracked since 2017).

About St. Nicholas Medical Of New York, Llc NPPES

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

ST. NICHOLAS MEDICAL OF NEW YORK, LLC (NPI 1316471352) is a healthcare organization registered as a vascular surgery in New York, New York and active in the NPI registry since April 2017. The organization lists Yan Katsnelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316471352
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameST. NICHOLAS MEDICAL OF NEW YORK, LLC
Location Address1264 SAINT NICHOLAS AVE STE BNew York, NY 10033
Mailing Address304 Wainwright DrNorthbrook, IL 60062-1900 · (847) 257-1244 · Fax (224) 246-8042
Phone(718) 301-1100
Fax(224) 246-8042
Organization SubpartNo
Authorized OfficialYan KatsnelsonCeo · (847) 257-1244
Enumeration DateApril 17, 2017
Last NPPES UpdateMay 24, 20182 updates tracked since enumeration
✔ NPI 1316471352 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.
1264 SAINT NICHOLAS AVE STE B, New York, NY 10033
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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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to St. Nicholas Medical Of New York, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Jeffrey Hellinger, MD
Diagnostic Radiology
NPI 1861443350
61 E 77TH ST LENOX HILL RADIOLOGY
New York, NY 10075
(212) 772-3111
✔ PECOS✔ Accepts Medicare5.0 mi
Joseph Iraci, M.D.
General Surgery
NPI 1669563730
122 E 76TH ST OFC 1B
New York, NY 10021
(212) 628-8771
✔ PECOS✔ Accepts Medicare5.1 mi
Glenn Faust, MD
General Practice
NPI 1003986456
2201 HEMPSTEAD TPKE
East Meadow, NY 11554
(516) 572-6705
✔ PECOS22 mi
Raghavendra Rao Sathyanarayana Rao, M.D
General Surgery
NPI 1053753608
555 W MADISON ST APT 4302
Chicago, IL 60661
(312) 216-7157
✔ PECOS✔ Accepts Medicare715 mi
Igal Breitman, MD
General Surgery
NPI 1881973014
2300 N ROCKTON AVE
Rockford, IL 61103
(815) 971-2000
✔ PECOS✔ Accepts Medicare791 mi
Sanjeev Saxena, MD
Interventional Cardiology
NPI 1093701120
38035 MEDICAL CENTER AVE
Zephyrhills, FL 33540
(813) 788-1400
✔ PECOS✔ Accepts Medicare986 mi
Joseph Graham, MD
Thoracic Surgery
NPI 1578638383
5405 SOUTH 500 EAST #200
Ogden, UT 84405
(801) 476-6900
✔ PECOS✔ Accepts Medicare1,972 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 St. Nicholas Medical Of New York, LLC's NPI number?

The NPI number for St. Nicholas Medical Of New York, LLC is 1316471352. It was assigned to this organization in the NPPES registry on April 17, 2017.

Where is St. Nicholas Medical Of New York, LLC located?

St. Nicholas Medical Of New York, LLC is located at 1264 Saint Nicholas Ave Ste B, New York, NY 10033. The listed phone number is (718) 301-1100.

What is St. Nicholas 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 St. Nicholas Medical Of New York, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through St. Nicholas Medical Of New York, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to St. Nicholas 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), Diagnostic Radiology (1) and General Practice (1). Of these, 2 practice 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 St. Nicholas Medical Of New York, LLC was last updated on May 24, 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.