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: October 18, 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
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

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)

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

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Corona Medical Of New York LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

General Surgery4
Diagnostic Radiology2
Interventional Radiology2
Vascular Surgery2
Cardiovascular Disease (Cardiology)1
Family Practice1
Thoracic Surgery1

Clinicians, nearest first (13)

Family Practice
NPI 1902000995
3033 STEINWAY ST
Astoria, NY 11103
(718) 874-9778
✔ PECOS✔ Accepts Medicare2.1 mi
General Surgery
NPI 1770877953
11602 QUEENS BLVD STE A
Forest Hills, NY 11375
(718) 301-1100
✔ PECOS✔ Accepts Medicare3.3 mi
Interventional Radiology
NPI 1093760266
1153 1ST AVE
New York, NY 10065
(646) 386-2250
✔ PECOS✔ Accepts Medicare4.3 mi
Diagnostic Radiology
NPI 1487791927
16203 JAMAICA AVE STE 200A
Jamaica, NY 11432
(347) 390-1075
✔ PECOS✔ Accepts Medicare5.3 mi
General Surgery
NPI 1376610758
161 FORT WASHINGTON AVE
New York, NY 10032
(212) 305-8665
✔ PECOS7.2 mi
Interventional Radiology
NPI 1386969210
1264 SAINT NICHOLAS AVE
New York, NY 10033
(347) 532-1845
✔ PECOS✔ Accepts Medicare7.3 mi
Cardiovascular Disease (Cardiology)
NPI 1700893393
2511 OCEAN AVE STE 102
Brooklyn, NY 11229
(718) 504-6044
✔ PECOS✔ Accepts Medicare11 mi
Diagnostic Radiology
NPI 1205829181
2444 86TH ST
Brooklyn, NY 11214
(570) 888-5858
✔ PECOS12 mi
Vascular Surgery
NPI 1568473700
23 BRIGHTON 11TH ST FL 7
Brooklyn, NY 11235
(917) 920-3006
✔ PECOS✔ Accepts Medicare12 mi
Thoracic Surgery
NPI 1033157169
2965 OCEAN PKWY STE 200
Brooklyn, NY 11235
(718) 280-5573
✔ PECOS✔ Accepts Medicare13 mi
Vascular Surgery
NPI 1760587430
2965 OCEAN PKWY # 200
Brooklyn, NY 11235
(718) 280-5573
✔ PECOS✔ Accepts Medicare13 mi
General Surgery
NPI 1902067986
358 N BROADWAY STE 101
Sleepy Hollow, NY 10591
(914) 810-4792
✔ PECOS✔ Accepts Medicare23 mi
General Surgery
NPI 1376811331
750 EAST ADAMS ST
Syracuse, NY 13210
(315) 464-9535
✔ PECOS✔ Accepts Medicare197 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 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.

Is Corona Medical Of New York LLC enrolled in Medicare?

Yes. Corona Medical Of New York LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Corona Medical Of New York LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 7 Medicare specialties reassign their Medicare billing to Corona 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 (4), Diagnostic Radiology (2) and Interventional Radiology (2). Of these, 6 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 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.