JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1578080966
Surgery - Vascular Surgery in Jamaica, NY
About Jamaica Queens Professional Medical Services Of New York Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI 1578080966) is a healthcare organization registered as a vascular surgery in Jamaica, New York and active in the NPI registry since August 2017. The organization holds a CLIA Certificate of Compliance certificate valid through June 4, 2027 and lists Yan Katsnelson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jamaica Queens Professional Medical Services Of New York Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Jamaica Queens Professional Medical Services Of New York LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 33D2157731
Jamaica Queens Professional Medical Services Of New York LLC · Jamaica, NYFrequently 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 Professional Medical Services Of New York LLC's NPI number?
The NPI number for Jamaica Queens Professional Medical Services Of New York LLC is 1578080966. It was assigned to this organization in the NPPES registry on August 25, 2017.
Where is Jamaica Queens Professional Medical Services Of New York LLC located?
Jamaica Queens Professional Medical Services Of New York LLC is located at 16203 Jamaica Ave Unit 200A, Jamaica, NY 11432. The listed phone number is (718) 301-1100.
What is Jamaica Queens Professional Medical Services Of New York LLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Jamaica Queens Professional Medical Services Of New York LLC enrolled in Medicare?
Yes. Jamaica Queens Professional Medical Services Of New York LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jamaica Queens Professional Medical Services Of New York LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 8 Medicare specialties reassign their Medicare billing to Jamaica Queens Professional Medical Services 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 (5), Diagnostic Radiology (3) and Interventional Radiology (3). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jamaica Queens Professional Medical Services Of New York LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D2157731) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jamaica Queens Professional Medical Services Of New York LLC was last updated on June 11, 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.
# Jamaica Queens Professional Medical Services Of New York Llc · NPI 1578080966
Vascular Surgery organization in Jamaica, New York. Organization record, active in the CMS NPPES registry since August 25, 2017.
## Identity
- **NPI:** 1578080966 (Entity type: Organization)
- **Enumerated:** August 25, 2017
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Yan Katsnelson, CEO
## Practice location
- **Address:** 16203 JAMAICA AVE UNIT 200A, Jamaica, NY 11432
- **Phone:** (718) 301-1100 · **Fax:** (224) 246-8042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (5), Diagnostic Radiology (3), Interventional Radiology (3); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578080966) · Data from the CMS NPPES public registry.