QUEENS MEDICAL OF NEW YORK LLC
NPI 1730439704
Surgery - Vascular Surgery in Forest Hills, NY

Active since September 17, 2012
11602 QUEENS BLVD, FOREST HILLS, NY 11375(718) 301-1100(888) 621-3330 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Queens Medical Of New York Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEENS MEDICAL OF NEW YORK LLC (NPI 1730439704) is a healthcare organization registered as a vascular surgery in Forest Hills, New York and active in the NPI registry since September 2012. The organization lists Flora Katsnelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1730439704
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameQUEENS MEDICAL OF NEW YORK LLC
Location Address11602 QUEENS BLVDForest Hills, NY 11375-7055
Mailing AddressPo Box 32Northbrook, IL 60065-0032 · (718) 301-1100 · Fax (888) 621-3330
Fax(888) 621-3330
Organization SubpartNo
Authorized OfficialFlora KatsnelsonOwner · (718) 301-1100
Enumeration DateSeptember 17, 2012
✔ NPI 1730439704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
11602 QUEENS BLVD, Forest Hills, NY 11375

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Queens Medical Of New York Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Queens Medical Of New York LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

General Surgery
NPI 1770877953
11602 QUEENS BLVD STE A
Forest Hills, NY 11375
(718) 301-1100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1902000995
3033 STEINWAY ST
Astoria, NY 11103
(718) 874-9778
✔ PECOS✔ Accepts Medicare5.4 mi
General Surgery
NPI 1487613626
260 W SUNRISE HWY STE 200
Valley Stream, NY 11581
(516) 825-3600
✔ PECOS✔ Accepts Medicare7.5 mi
General Surgery
NPI 1376610758
161 FORT WASHINGTON AVE
New York, NY 10032
(212) 305-8665
✔ PECOS10 mi
General Surgery
NPI 1902067986
358 N BROADWAY STE 101
Sleepy Hollow, NY 10591
(914) 810-4792
✔ PECOS✔ Accepts Medicare26 mi
Vascular Surgery
NPI 1609076629
104 UNION AVE. STE 1005
Syracuse, NY 13203
(315) 424-0253
✔ PECOS201 mi

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 Queens Medical Of New York LLC's NPI number?

The NPI number for Queens Medical Of New York LLC is 1730439704. It was assigned to this organization in the NPPES registry on September 17, 2012.

Where is Queens Medical Of New York LLC located?

Queens Medical Of New York LLC is located at 11602 Queens Blvd, Forest Hills, NY 11375. The listed phone number is (718) 301-1100.

What is Queens 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 Queens Medical Of New York LLC enrolled in Medicare?

Yes. Queens Medical Of New York LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Queens Medical Of New York LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Queens Medical 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 (4), Family Practice (1) and Vascular Surgery (1). Of these, 1 practice at this address and 3 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 Queens Medical Of New York LLC was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.