STATEN ISLAND MEDICAL OF NEW YORK LLC
NPI 1669888277
Surgery - Vascular Surgery in Staten Island, NY
About Staten Island Medical Of New York Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATEN ISLAND MEDICAL OF NEW YORK LLC (NPI 1669888277) is a healthcare organization registered as a vascular surgery in Staten Island, New York and active in the NPI registry since July 2014. The organization lists Flora Katsnelson, Owner, 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)
Staten Island Medical Of New York Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Staten Island Medical Of New York LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Staten Island Medical Of New York LLC's NPI number?
The NPI number for Staten Island Medical Of New York LLC is 1669888277. It was assigned to this organization in the NPPES registry on July 2, 2014.
Where is Staten Island Medical Of New York LLC located?
Staten Island Medical Of New York LLC is located at 1975 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (186) 909-5917.
What is Staten Island 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 Staten Island Medical Of New York LLC enrolled in Medicare?
Yes. Staten Island Medical Of New York LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Staten Island Medical Of New York LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Staten Island Medical Of New York LLC, in General Practice, General Surgery, Interventional Radiology and Vascular Surgery. 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. Of these, 1 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 Staten Island Medical Of New York LLC was last updated on May 31, 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.
# Staten Island Medical Of New York Llc · NPI 1669888277
Vascular Surgery organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since July 2, 2014.
## Identity
- **NPI:** 1669888277 (Entity type: Organization)
- **Enumerated:** July 2, 2014
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Flora Katsnelson, OWNER
## Practice location
- **Address:** 1975 HYLAN BLVD, Staten Island, NY 10306
- **Phone:** (186) 909-5917 · **Fax:** (224) 235-4652
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), General Surgery (1), Interventional Radiology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1669888277) · Data from the CMS NPPES public registry.