Staten Island Medical of New York, LLC
NPI 1669864369 · Vascular Surgery Physician · Staten Island, NY
Staten Island Medical of New York, LLC is a Vascular Surgery Physician organization in Staten Island, NY (NPI 1669864369).
Provider details
- NPI number
- 1669864369
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yan Katsnelson, 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
11 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
- 2015-03-04
- Last updated
- 2018-05-24
Frequently asked questions
- What is Staten Island Medical of New York, LLC's NPI number?
- Staten Island Medical of New York, LLC's National Provider Identifier (NPI) is 1669864369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staten Island Medical of New York, LLC?
- Staten Island Medical of New York, LLC is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Staten Island Medical of New York, LLC located?
- Staten Island Medical of New York, LLC's practice location on file with NPPES is 1975 Hylan Blvd Ste C, Staten Island, NY 10306.
- What is Staten Island Medical of New York, LLC's phone number?
- The practice phone number listed in the NPPES registry for Staten Island Medical of New York, LLC is (847) 305-3346.
- Who is the authorized official for Staten Island Medical of New York, LLC?
- The authorized official listed on Staten Island Medical of New York, LLC's NPPES record is Yan Katsnelson, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staten Island Medical of New York, LLC's NPI active?
- Yes — Staten Island Medical of New York, LLC's NPI (1669864369) 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.