NORWOOD PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1528547312
Surgery - Vascular Surgery in Bronx, NY
- Organization
- Surgery
- Vascular Surgery
- CLIA Number: 33D2163702
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-19-2027
About NORWOOD PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
This page provides the complete NPI Profile along with additional information for Norwood Professional Medical Services Of New York Llc, a provider established in Bronx, New York operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1528547312 assigned on August 2018. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Norwood Professional Medical Services Of New York Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Yan Katsnelson M.d. (Ceo/president)
- NPI
- 1528547312 Verify this NPI
- Provider Name
- NORWOOD PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
- Entity Type
- Organization
- Location Address
- 3485-91 JEROME AVE STE A BRONX, NY 10467
- Location Phone
- (347) 547-3099
- Mailing Address
- PO BOX 32 NORTHBROOK, IL 60065
- Mailing Phone
- (847) 593-8460
- Mailing Fax
- (224) 235-4652
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-13-2018
- Last Update Date
- 03-20-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2163702
- Facility Type
- Physician Office
- Certificate Effective Date
- March 20, 2025
- Certificate Expiration Date
- March 19, 2027
- Laboratory Director
- MS. PATRICIA CLARKE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Norwood Professional Medical Services Of New York Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528547312, enumerated as an "organization" on August 13, 2018.
The provider is located at 3485-91 JEROME AVE STE A BRONX, NY 10467 and the phone number is (347) 547-3099.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
