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JAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1578080966
Surgery - Vascular Surgery in Jamaica, NY

Active since August 25, 2017CLIA 33D2157731 · Certificate of Compliance
16203 JAMAICA AVE UNIT 200A, JAMAICA, NY 11432(718) 301-1100(224) 246-8042 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2018, Aug 25, 2017 (2 updates tracked since 2017).

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

NPI1578080966
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameJAMAICA QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
Location Address16203 JAMAICA AVE UNIT 200AJamaica, NY 11432
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 KatsnelsonCeo · (847) 257-1244
Enumeration DateAugust 25, 2017
Last NPPES UpdateJune 11, 20182 updates tracked since enumeration
✔ NPI 1578080966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IL · 036105104
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 UNIT 200A, Jamaica, NY 11432
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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

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, NY
Active · expires Jun 4, 2027
CLIA Number33D2157731
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorDr. Aaron D. Reichman
Laboratory Phone(718) 301-1100
Laboratory LocationJamaica Queens Professional Medical Services Of New York LLC162-03 Jamaica Avenue - Suite 200A, Jamaica, NY 11432
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 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.

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.