MOTT HAVEN PROFESSIONAL MEDICAL OF NEW YORK LLC
NPI 1922525781
Surgery - Vascular Surgery in Bronx, NY
About Mott Haven Professional Medical Of New York Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOTT HAVEN PROFESSIONAL MEDICAL OF NEW YORK LLC (NPI 1922525781) is a healthcare organization registered as a vascular surgery in Bronx, New York and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Yan Katsnelson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Mott Haven Professional Medical Of New York Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Mott Haven Professional Medical Of New York LLC, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 36Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 33D2157722
Mott Haven Professional Medical Of New York LLC · Bronx, NYFrequently 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 Mott Haven Professional Medical Of New York LLC's NPI number?
The NPI number for Mott Haven Professional Medical Of New York LLC is 1922525781. It was assigned to this organization in the NPPES registry on August 23, 2017.
Where is Mott Haven Professional Medical Of New York LLC located?
Mott Haven Professional Medical Of New York LLC is located at 384 E 149th St, Bronx, NY 10455. The listed phone number is (718) 301-1100.
What is Mott Haven Professional 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 Mott Haven Professional Medical Of New York LLC enrolled in Medicare?
Yes. Mott Haven Professional Medical Of New York LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mott Haven Professional Medical Of New York LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 9 Medicare specialties reassign their Medicare billing to Mott Haven Professional 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 Interventional Radiology (9), Diagnostic Radiology (8) and General Surgery (6). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mott Haven Professional Medical Of New York LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2157722) is associated with this NPI, valid through November 17, 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 Mott Haven Professional Medical Of New York LLC was last updated on March 26, 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.
# Mott Haven Professional Medical Of New York Llc · NPI 1922525781
Vascular Surgery organization in Bronx, New York. Organization record, active in the CMS NPPES registry since August 23, 2017.
## Identity
- **NPI:** 1922525781 (Entity type: Organization)
- **Enumerated:** August 23, 2017
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Yan Katsnelson, CEO
## Practice location
- **Address:** 384 E 149TH ST, Bronx, NY 10455-3908
- **Phone:** (718) 301-1100 · **Fax:** (224) 246-8042
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Radiology (9), Diagnostic Radiology (8), General Surgery (6); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1922525781/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2018
- **Other identifiers:** Medicaid 036105104 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922525781) · Data from the CMS NPPES public registry.