JAMAICA QUEENS MEDICAL OF NEW YORK LLC
NPI 1366962961
Surgery - Vascular Surgery in Jamaica, NY

Active since June 23, 2017
16203 JAMAICA AVE, JAMAICA, NY 11432(718) 301-1100(224) 246-8042 Get Directions Write a Review

NPPES record last updated: June 23, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jamaica Queens Medical Of New York Llc NPPES

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

JAMAICA QUEENS MEDICAL OF NEW YORK LLC (NPI 1366962961) is a healthcare organization registered as a vascular surgery in Jamaica, New York and active in the NPI registry since June 2017. The organization lists Flora Katsnelson, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1366962961
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameJAMAICA QUEENS MEDICAL OF NEW YORK LLC
Location Address16203 JAMAICA AVEJamaica, NY 11432-4909
Mailing Address304 Wainwright DrNorthbrook, IL 60062-1900 · (847) 257-1244 · Fax (224) 246-8042
Fax(224) 246-8042
Organization SubpartNo
Authorized OfficialFlora KatsnelsonOwner/director · (847) 257-1244
Enumeration DateJune 23, 2017
NPI 1366962961 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.
16203 JAMAICA AVE, Jamaica, NY 11432

Other Identifiers 1

Medicaid036113246IL

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.

Radiology (Vascular & Interventional Radiology)
16203 JAMAICA AVE
JAMAICA, NY 11432

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 Jamaica Queens Medical Of New York LLC's NPI number?

The NPI number for Jamaica Queens Medical Of New York LLC is 1366962961. It was assigned to this organization in the NPPES registry on June 23, 2017.

Where is Jamaica Queens Medical Of New York LLC located?

Jamaica Queens Medical Of New York LLC is located at 16203 Jamaica Ave, Jamaica, NY 11432. The listed phone number is (718) 301-1100.

What is Jamaica Queens 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 Jamaica Queens Medical Of New York LLC was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.