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STATEN ISLAND MEDICAL OF NEW YORK LLC
NPI 1669888277
Surgery - Vascular Surgery in Staten Island, NY

Active since July 02, 2014
1975 HYLAN BLVD, STATEN ISLAND, NY 10306(186) 909-5917(224) 235-4652 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2018, Nov 11, 2016 (2 updates tracked since 2016).

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

NPI1669888277
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSTATEN ISLAND MEDICAL OF NEW YORK LLC
Location Address1975 HYLAN BLVDStaten Island, NY 10306
Mailing Address1975 Hylan BlvdStaten Island, NY 10306-3523 · (718) 301-1100 · Fax (888) 979-6720
Phone(186) 909-5917
Fax(224) 235-4652
Organization SubpartNo
Authorized OfficialFlora KatsnelsonOwner · (847) 257-1244
Enumeration DateJuly 2, 2014
Last NPPES UpdateMay 31, 20182 updates tracked since enumeration
✔ NPI 1669888277 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.
1975 HYLAN BLVD, Staten Island, NY 10306
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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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA L CONSOLMAGNO PA-C
Physician Assistant
1975 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 667-5400
DR. STEVEN S. SCHIEBERT D.O.
Orthopaedic Surgery
1975 HYLAN BLVD, SUITE 1
STATEN ISLAND, NY 10306
Richmond County (718) 667-5400
ALEXANDRIA ROSE XEPOLITOS FNP
Nurse Practitioner (Family)
1975 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (646) 558-2424
SUNRISE MEDICAL PRACTICE PC
Clinic/Center (Medical Specialty)
1975 HYLAN BLVD
STATEN ISLAND, NY 10306
Richmond County (718) 667-5400

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.

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.