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

Q: 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.

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: August 30, 2026.

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

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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN G HURST M.D.

Surgery (Vascular Surgery)

1264 SAINT NICHOLAS AVE STE B
NEW YORK, NY 10033

New York County (718) 280-4188

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.

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.