1. Home
  2. Directory
  3. New York
  4. Jackson Heights
  5. Surgery
  6. NPI Profile

CORONA MEDICAL OF NEW YORK LLC
NPI 1437691920
Surgery - Vascular Surgery in Jackson Heights, NY

Active since November 15, 2016
4004 FORLEY STREET, JACKSON HEIGHTS, NY 11372(718) 301-1100(224) 246-8042 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2023, Nov 15, 2016 (2 updates tracked since 2016).

About Corona Medical Of New York Llc NPPES

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

CORONA MEDICAL OF NEW YORK LLC (NPI 1437691920) is a healthcare organization registered as a vascular surgery in Jackson Heights, New York and active in the NPI registry since November 2016. The organization lists Yan Katsnelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1437691920
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCORONA MEDICAL OF NEW YORK LLC
Location Address4004 FORLEY STREETJackson Heights, NY 11372
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 KatsnelsonOwner · (847) 257-1244
Enumeration DateNovember 15, 2016
Last NPPES UpdateDecember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1437691920 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.
4004 FORLEY STREET, Jackson Heights, NY 11372
Open in Google Maps ↗

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

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 Corona Medical Of New York LLC's NPI number?

The NPI number for Corona Medical Of New York LLC is 1437691920. It was assigned to this organization in the NPPES registry on November 15, 2016.

Where is Corona Medical Of New York LLC located?

Corona Medical Of New York LLC is located at 4004 Forley Street, Jackson Heights, NY 11372. The listed phone number is (718) 301-1100.

What is Corona 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 Corona Medical Of New York LLC was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.