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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WILLIAMSBURG MEDICAL OF NEW YORK LLC
NPI 1740100858
Radiology - Vascular & Interventional Radiology in Hewlett, NY

Active since July 18, 2026
1229 BROADWAY STE 103, HEWLETT, NY 11557(847) 257-1244 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2026, Jul 18, 2026 (2 updates tracked since 2026).

About Williamsburg Medical Of New York Llc NPPES

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

WILLIAMSBURG MEDICAL OF NEW YORK LLC (NPI 1740100858) is a healthcare organization registered as a vascular & interventional radiology in Hewlett, New York and active in the NPI registry since July 2026. The organization lists Yan Katsnelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740100858
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameWILLIAMSBURG MEDICAL OF NEW YORK LLC
Location Address1229 BROADWAY STE 103Hewlett, NY 11557-2014
Mailing AddressPo Box 32Northbrook, IL 60065-0032
Phone(847) 257-1244
Organization SubpartNo
Authorized OfficialYan KatsnelsonCeo · (847) 774-5300
Enumeration DateJuly 18, 2026
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1740100858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1229 BROADWAY STE 103, Hewlett, NY 11557
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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

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

DANIEL PORTAL MD PLLC
Radiology (Vascular & Interventional Radiology)
1229 BROADWAY STE 103
HEWLETT, NY 11557
Nassau County (517) 461-5900

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 Williamsburg Medical Of New York LLC's NPI number?

The NPI number for Williamsburg Medical Of New York LLC is 1740100858. It was assigned to this organization in the NPPES registry on July 18, 2026.

Where is Williamsburg Medical Of New York LLC located?

Williamsburg Medical Of New York LLC is located at 1229 Broadway Ste 103, Hewlett, NY 11557. The listed phone number is (847) 257-1244.

What is Williamsburg Medical Of New York LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Williamsburg Medical Of New York LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.