St. Nicholas Professional Medical Services of New York LLC
NPI 1033631064 · Vascular Surgery Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. Nicholas Professional Medical Services of New York LLC is a Vascular Surgery Physician organization in New York, NY (NPI 1033631064).
Provider details
- NPI number
- 1033631064
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Flora Katsnelson, Owner/Director(847) 257-1244
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-11
- Last updated
- 2017-07-11
Frequently asked questions
- What is St. Nicholas Professional Medical Services of New York LLC's NPI number?
- St. Nicholas Professional Medical Services of New York LLC's National Provider Identifier (NPI) is 1033631064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Nicholas Professional Medical Services of New York LLC?
- St. Nicholas Professional Medical Services of New York LLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is St. Nicholas Professional Medical Services of New York LLC located?
- St. Nicholas Professional Medical Services of New York LLC's practice location on file with NPPES is 1264 Saint Nicholas Ave Ste a, New York, NY 10033-7263.
- What is St. Nicholas Professional Medical Services of New York LLC's phone number?
- The practice phone number listed in the NPPES registry for St. Nicholas Professional Medical Services of New York LLC is (718) 301-1100.
- Does St. Nicholas Professional Medical Services of New York LLC accept Medicare?
- St. Nicholas Professional Medical Services of New York LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St. Nicholas Professional Medical Services of New York LLC?
- The authorized official listed on St. Nicholas Professional Medical Services of New York LLC's NPPES record is Flora Katsnelson, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Nicholas Professional Medical Services of New York LLC's NPI active?
- Yes — St. Nicholas Professional Medical Services of New York LLC's NPI (1033631064) is active in the NPPES registry as of the last update on 2017-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.