St. Nicholas Medical of New York, LLC
NPI 1316471352 · 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 Medical of New York, LLC is a Vascular Surgery Physician organization in New York, NY (NPI 1316471352).
Provider details
- NPI number
- 1316471352
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yan Katsnelson, Ceo(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
9 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
- 2017-04-17
- Last updated
- 2018-05-24
Frequently asked questions
- What is St. Nicholas Medical of New York, LLC's NPI number?
- St. Nicholas Medical of New York, LLC's National Provider Identifier (NPI) is 1316471352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Nicholas Medical of New York, LLC?
- St. Nicholas Medical of New York, LLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is St. Nicholas Medical of New York, LLC located?
- St. Nicholas Medical of New York, LLC's practice location on file with NPPES is 1264 Saint Nicholas Ave Ste B, New York, NY 10033.
- What is St. Nicholas Medical of New York, LLC's phone number?
- The practice phone number listed in the NPPES registry for St. Nicholas Medical of New York, LLC is (718) 301-1100.
- Does St. Nicholas Medical of New York, LLC accept Medicare?
- St. Nicholas Medical 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 Medical of New York, LLC?
- The authorized official listed on St. Nicholas Medical of New York, LLC's NPPES record is Yan Katsnelson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Nicholas Medical of New York, LLC's NPI active?
- Yes — St. Nicholas Medical of New York, LLC's NPI (1316471352) is active in the NPPES registry as of the last update on 2018-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.