American Access Care Brooklyn

Center Hours & Contact Information
Reviews
4.6

122 Reviews

Location
960 40th St
Brooklyn, NY 11219 Get Directions
Vascular Center Hours
Open Today 7:00am – 5:00pm
SundayClosed
Monday7:00am – 5:00pm
Tuesday7:00am – 5:00pm
Wednesday7:00am – 5:00pm
Thursday7:00am – 5:00pm
Friday7:00am – 5:00pm
Saturday8:00am – 2:00pm
Phone
718-369-1444
Fax
718-369-3066
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Accreditations & Awards
  • The Joint Commission Seal

Excellent outcomes and dedicated vascular care. Ever closer to you.

When American Access Care Physician, PLLC Brooklyn first opened its doors nearly 20 years ago, it revolutionized how vascular access care is delivered to dialysis patients in the greater Brooklyn community. Rather than being admitted to a hospital with overnight stays, the state-of-the-art outpatient center allows patients to get safe, effective, minimally invasive treatments for their access to remain fully functional.  Patients can return home or to their scheduled dialysis treatment the very same day. Since the center’s inception, American Access Care Brooklyn has expanded its service offerings to dialysis access management in addition to minimally invasive treatments for peripheral artery disease, uterine fibroids, varicoceles and more. Priding ourselves on rapid patient appointments we can accommodate patients same or next day for their care. Now expanded to a new state of the art 15,000 sq foot facility we are able to limit our wait time.

Norbert Shtaynberg, DO FASN FASDIN, board-certified and fellowship-trained medical director, leads a clinical team of highly trained physicians, nurses and patient-focused staff, who use the most advanced techniques to improve their patients’ quality of life. The team at American Access Care Brooklyn works closely with referring physicians, patients and their families to keep all informed every step of the way.  The center’s philosophy is to always deliver the highest level of care, personal attention and compassion that all patients deserve—before, during and after each procedure. We ensure that the patient is the center of their care and involve them throughout their visit.

Visit American Access Care Brooklyn and experience firsthand what sets them apart from the rest.

Vascular care has evolved. It’s about choices.

People living with vascular conditions don’t want overnight stays in the hospital, lengthy recovery periods and scheduling issues. They want to return to their daily lives quickly. American Access Care Brooklyn delivers a different healthcare experience; one that is invested in people, communication and best-in-class care.  

American Access Care Brooklyn is committed to superior service and delivering far more. Patients can expect:

Prompt appointments For dialysis access management patients, American Access Care Brooklyn offers same day/next day appointments when at all possible, allowing a prompt return to scheduled dialysis treatments. Patients seeking treatment for other vascular conditions will experience convenient scheduling of appointments. At the center, patients avoid the complexities of a hospital admission and return home to recover that same day.

Exceptional patient care Patients encounter a team that is kind and respectful, never indifferent.  Individual needs are accommodated to ensure patients are comfortable and kept well-informed.

Efficient and customized communication The team at American Access Care Brooklyn partners with your physician care team, focusing on coordinating your vascular care. Immediate post-procedure reports are sent to your referring physicians and comprehensive reports follow within 24 hours after the procedure.

Patient education Patients see us as partners working to find the best treatment to fit their individual needs in vascular care. Online and printed materials are vital components of the patient experience and help patients to be well-informed about their health and available treatment options.

Whether you are a current or a new patient, thank you for entrusting your vascular care to the experts at American Access Care Brooklyn.

American Access Care Brooklyn is managed by Azura Vascular Care, a national network of outpatient vascular and ambulatory surgery centers. Our shared goal is to deliver the most advanced care there is—combining the extensive resources of a nationwide organization with the relationships, exceptional patient experience, and clinical capabilities of a trusted local provider. American Access Care Brooklyn is accredited by The Joint Commission.

Medical Services

American Access Care Brooklyn treats and manages a wide variety of vascular conditions in an outpatient environment. Services include dialysis access management, treatment for peripheral artery disease (PAD), treatment for uterine fibroids, varicoceles treatment and more.

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Dialysis Access Management

Whether you have an AV fistula, AV graft, fistula creation and peritoneal dialysis catheter insertion, peritoneal dialysis catheter, or dialysis catheter, we have the proven treatments to ensure that your dialysis access will function safely and smoothly.
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Peripheral Artery Disease Treatment

Peripheral Artery Disease (PAD) is a serious condition. Early detection and treatment can lower your risk of the disease progressing, which, if untreated, may leave amputation as the only option.
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Varicocele Embolization

We provide individualized care and non-surgical treatment for varicoceles. Embolization is an effective treatment option to surgery and no surgical incision will be made to the testicle or scrotum.
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Pelvic Congestion Syndrome Treatment

Pelvic pain can greatly impact your quality of life and make it difficult to work, sleep or move around. Pelvic pain may be caused by varicose veins in the lower abdomen or around your ovaries.
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Port or PICC Line Placement

If you are receiving treatment such as chemotherapy, it may involve frequent injections and the need for accessible veins. A port or PICC placement can help make these procedures more comfortable for you, especially if your treatment requires frequent access to the bloodstream for medication delivery or blood withdrawal.

More From American Access Care Brooklyn

Providers

Dr. Salvatore Sclafani, interventional nephrologist and medical director, and his team of highly trained vascular specialists (interventional radiologists, interventional nephrologists and vascular surgeons) bring the full range of medical capabilities to every patient at every visit.

Physicians

Dr. Shtaynberg/ featured image

Norbert Shtaynberg, DO, FASN FASDIN

Norbert Shtaynberg, DO, FASN FASDIN, is a board-certified interventional nephrologist specializing in the critical maintenance and management of vascular accesses for dialysis patients. In addition he carries certification in minimally invasive placement of peritoneal dialysis catheters. To ensure that a patient’s access remains fully functional, he performs minimally invasive endovascular treatments at American Access Care Physician, PLLC Brooklyn in Brooklyn, New York, where he is the Medical Director and has been actively practicing since 2011.

Dr. Shtaynberg received his medical degree from New York Institute of Technology College of Osteopathic Medicine in 2006 with honors. He completed his internal medicine residency and nephrology fellowship at Staten Island University Hospital. He then went on to pursue training in interventional nephrology under the guidance of Gregg Miller, MD, a pioneer in vascular access. He performs the latest in minimally invasive treatments including angioplasty, stenting, fistula salvage, thrombectomy, thrombolysis, port placement, the MILLER procedure for steal syndrome and more. He actively engages in the training of other physicians in nephrology and interventional nephrology fields. He is committed to the success of his patients.

Dr. Shtaynberg co-authored numerous articles that have been published in peer-reviewed journals. He is an active member of the American Medical Association. Dr. Shtaynberg is a fellow of the American Society of Diagnostic and Interventional Nephrology, and the American Society of Nephrology. Dr. Shtaynberg is board certified in internal medicine and nephrology. He speaks English and Russian.

Dr. Miller

Gregg Miller, MD

Gregg A. Miller, MD, is an interventional nephrologist specializing in the critical maintenance, management and treatment of dialysis accesses. Dr. Miller practices at American Access Care Physician, PLLC Brooklyn in Brooklyn, New York.

As Senior Vice President of Operations, Dr. Gregg Miller leads all clinic operations and business integration for Azura Vascular Care. In this role, he works closely with both patient-facing and support teams throughout the organization to ensure that all systems, processes and procedures are strategically aligned to enhance the total patient experience. Prior to this position, he served as the Chief Medical Officer for Fresenius Vascular Care, and the Vice President of Operations.

Dr. Miller earned his undergraduate degree in biomedical sciences from the Sophie Davis School of Biomedical Education at the City University of New York, and he received his medical degree from SUNY Health Science Center at Syracuse. He specializes in Internal Medicine, Nephrology and Critical Care Medicine, with additional qualifications in Interventional Nephrology.

Dr. Miller launched his medical career focusing on cardiothoracic critical care medicine, and he developed the first outpatient vascular access center in the state of New York in 2002. As a practicing physician, researcher, and trainer, he fundamentally transformed the way dialysis patients receive care for their vascular access. In 2006, he developed the MILLER (Minimally Invasive Limited Ligation Endoluminal-assisted Revision) Procedure, a technique which revolutionized the treatment of Dialysis Associated Steal Syndrome (DASS). Author of more than nine articles in specialty publications, he has lectured nationally and internationally.

In his current role, Dr. Miller is focused on cultivating and maintaining a culture of clinical excellence through compliance and patient safety. He created and implemented the High-Risk Criteria, a best practices initiative which enables providers to quickly identify patients at greater risk for complications. He was also instrumental in creating a Renal-Focused ASC, where physicians of multiple specialties coordinate vascular access creation, revision, and interventions for patients receiving dialysis treatments. To deliver on this expanded portfolio and further enhance the continuum of care, Dr. Miller helped establish Azura Anesthesia Partners, incorporating the delivery of care by anesthesia providers who specialize in managing renally impaired patients.

Dr. Miller is board certified in internal medicine, critical care medicine and nephrology with an additional certificate in interventional nephrology.

Dr. Salvatore J. A. Sclafani, MD, FSIR, Interventional Radiologist at Azura Vascular Care

Salvatore J. A. Sclafani, MD, FSIR

Salvatore Sclafani, MD, FSIR, is an interventional radiologist with more than 40 years of experience specializing in dialysis access management and the minimally invasive treatment of uterine fibroids, varicoceles and more. Dr. Sclafani practices at American Access Care Physician, PLLC Brooklyn and American Access Care Physician, PLLC Bronx.

Dr. Sclafani earned his medical degree from SUNY Upstate and completed his residency at SUNY Downstate. For the past decade, he has served as professor and chairman of radiology and professor of surgery and emergency medicine at SUNY Downstate College of Medicine.

Dr. Sclafani is a past president of the American Society of Emergency Radiology, a fellow of the Society of Interventional Radiology (SIR), and the first international member of the Chinese Society of Interventional Radiology. Dr. Sclafani is a founding member of the International Society for Neurovascular Disease.

Recognized for developing endovascular techniques for hemorrhage control, he was honored by the New York Academy of Medicine for his work among those in need and by the New York Police Department for his celebrated save of a police officer wounded in a shooting. Dr. Sclafani has also been recognized for outstanding community service by Concerned Women of Brooklyn.

Dr. Sclafani has authored more than 160 scientific papers and authored or co-authored 20 textbooks. He also presented at more than 250 national and international lectures. He was the first section editor of radiology for the Journal of Trauma and served on the editorial boards of the Journal of Interventional Radiology and Emergency Radiology.

Dr. Sclafani has been named “Top Doctor – New York City” in vascular and interventional radiology by Castle Connolly more than 5 times since 2005. Castle Connolly identifies Top Doctors by location and specialty, using a peer nomination process.

Dr. Sclafani is board certified in diagnostic radiology and a diplomate of the American College of Radiology with added qualification in interventional radiology.

Dr. Paul Yang, MD, FACS, RVT, Vascular Surgeon at Azura Vascular Care

Paul Yang, MD, FACS, RVT

Paul Yang, MD, FACS, RVT, is a vascular surgeon specializing in dialysis access management and the treatment of peripheral artery disease. He treats patients at American Access Care Physician, PLLC Brooklyn in Brooklyn, New York.

Dr. Yang earned a Bachelor of Arts from Harvard University and a medical degree from New York University School of Medicine in New York City. He completed a residency in general surgery at Montefiore Medical Center/Albert Einstein College of Medicine in New York City and a vascular fellowship at Long Island Jewish Medical Center in New York.

He is a Fellow of the American College of Surgeons as well as a Registered Vascular Technologist. He is an active member of the Society for Vascular Surgery, the American Registry of Diagnostic Medical Sonographers, the New York Society for Vascular Surgery, and the American Society of Angiology. He has privileges at NY Presbyterian/Methodist Hospital in Brooklyn, Mount Sinai Hospital, Brooklyn, and The Brooklyn Hospital.

Dr. Yang is board certified in general surgery and vascular surgery.

Andrzej Kozyra, MD

Andrzej Kozyra MD is a board-certified interventional nephrologist specializing in the maintenance and management of vascular accesses for dialysis patients. To ensure that a patient’s access remains fully functional, he performs minimally invasive endovascular treatments at American Access Care Physician, PLLC Brooklyn in Brooklyn, New York, where he is an attending physician.

Dr. Kozyra received his medical degree from The State University of New York (SUNY) Downstate Health Sciences University in 2009. He completed his internal medicine residency and nephrology fellowship at Brookdale University Hospital Medical Center. He then went on to pursue training in interventional nephrology under the guidance of Dr. Norbert Shtaynberg.

Dr. Kozyra is an active member of the American Medical Association, the American Society of Nephrology and American Society of Diagnostic and Interventional Nephrology. He speaks English and Polish.

Dr. Kozyra is board certified in internal medicine and nephrology.

Nicholas Fuca, MD

Dr. Nicholas Fuca is an Interventional Nephrologist specializing in the critical maintenance and management of vascular accesses for dialysis patients. He performs the latest minimally invasive procedures such as angioplasty, stent placement, thrombectomy and thrombolysis to preserve and/or restore the functionality of a patient’s access.

Dr. Fuca practices at American Access Care Physician, PLLC Brooklyn located in Brooklyn, New York.

Dr. Fuca completed his internal medicine residency at Northwell Health at Staten Island University Hospital in New York, where he was named resident of the year. He completed his nephrology fellowship at Mount Sinai Hospital in New York City. Dr. Fuca is board certified in internal medicine and nephrology.

Treatment & Services

American Access Care Brooklyn treats and manages a wide variety of vascular conditions in an outpatient environment. Services include dialysis access management, treatment for peripheral artery disease (PAD), treatment for uterine fibroids, varicoceles treatment and more.

Dialysis Access Management

Dialysis Access Management

American Access Care Brooklyn knows vascular care. Specializing in the critical maintenance and management of dialysis accesses, Norbert Shtaynberg treats and manages a range of vascular access issues using the latest in minimally invasive techniques in an outpatient setting. The center provides individualized care in a timely fashion so that you can return to your normal routine with minimal disruption to your regular dialysis schedule.

Learn More About Dialysis Access Management

Procedures Include:

Uterine Fibroid Embolization

Uterine Fibroid Embolization

Have you been diagnosed with uterine fibroids? Don’t worry. They are extremely common and treatable. Uterine fibroids are benign tumors that develop within the muscular wall of the uterus. If you have uterine fibroids and are symptomatic, you have a choice in your treatment options.

Dr. Salvatore Sclafani offers uterine fibroid embolization (UFE)—a proven, effective alternative to surgery to treat uterine fibroids, with less risk, less pain and less recovery time.

Learn More About Uterine Fibroid Embolization
Peripheral Artery Disease

Peripheral Artery Disease

This buildup—called plaque—narrows your arteries, often reducing or blocking the flow of blood. Peripheral artery disease (PAD) is most commonly seen in the legs, but also can be present in the arteries that carry blood from your heart to your head, arms, kidneys and stomach. Nearly everyone who has PAD­, even those who do not have leg symptoms, suffer from an inability to walk as fast or as far as they could before PAD. In all, PAD affects 8 to 12 million people in the United States, especially those that are 50 and older. If you are diagnosed with PAD, the sooner you are treated, the lower your risk
of the disease progressing. Talk to Norbert Shtaynberg about minimally invasive treatment options.

Learn More About Peripheral Artery Disease

Procedures Include:

Varicocele Embolization

Varicocele Embolization

A varicocele is a varicose vein of the testicle and scrotum that may cause pain, testicular atrophy (shrinkage) or fertility problems. Veins contain one-way valves that work to allow blood to flow from the testicles and scrotum back to the heart. When these valves fail, the blood pools and enlarges the veins around the testicle in the scrotum to cause a varicocele. As a treatment, urologists often suggest open surgical ligation, but Dr. Sclafani can offer varicocele embolization, which is as effective as surgery with less risk, less pain and less recovery time.

Learn More About Varicocele Embolization
Pelvic Congestion Syndrome Treatment

Pelvic Congestion Syndrome Treatment

Pelvic pain can greatly impact your quality of life and make it difficult to work, sleep or move around. Pelvic pain may be caused by varicose veins in the lower abdomen or around your ovaries. Varicose veins that develop around the ovaries can be safely and effectively treated using a minimally invasive procedure. If you have been diagnosed and are suffering from pelvic pain, contact Dr. Salvatore Sclafani to schedule your personal consultation.

Learn More About Pelvic Congestion Syndrome Treatment
Port or PICC Line Placement

Port or PICC Line Placement

If you are receiving treatment such as chemotherapy, it may involve frequent injections and the need for accessible veins. A port or PICC placement can help make these procedures more comfortable for you, especially if your treatment requires frequent access to the bloodstream for medication delivery or blood withdrawal. Talk to Norbert Shtaynberg about how you can spare your veins from frequent needle sticks.

Learn More About Port or PICC Line Placement

Azura Vascular Care Brand Rolls Out In Northeast Florida

MALVERN, Pa., (May 16, 2019) –American Access Care of Jacksonville today announced that, as part of a phased brand rollout, it will now be known as Azura Vascular Care Jacksonville. Rishi Razdan, MD, board certified in both Diagnostic Radiology and Vascular and Interventional Radiology, is the Medical Director of the facility and leads this highly trained clinical team specializing in dialysis access management for patients with end-stage renal disease (ESRD), minimally invasive vascular procedures, and image-guided oncologic treatments. Azura Vascular Care Jacksonville is located at 2416 Dunn Avenue, Jacksonville, Florida.
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Azura Vascular Care Examines Patient Specific Risk Factors During Access Surgery

Abstract highlighted at the American Society of Nephrology’s 2018 Kidney Week Symposium MALVERN, Pa., Oct. 26, 2018 – Azura Vascular Care, a national leader in outpatient, minimally invasive vascular specialty services including dialysis access management, announces that a retrospective analysis of patient data suggests anemia may contribute to complications during dialysis vascular access (VA) interventions and increase the risk of hospitalization.
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Fresenius Vascular Care Announces New Name to Reflect Company’s Strategic Transformation

Malvern, PA, June 20, 2017 Fresenius Vascular Care, a national network of outpatient vascular care and ambulatory surgery centers that specialize in minimally invasive techniques to treat and manage a wide range of vascular conditions, has today announced its new name, Azura Vascular Care, as part of a strategic rebranding initiative.
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Fresenius Medical Care Acquires American Access Care

Germany's Fresenius Medical Care has acquired the US-based company American Access Care Holdings (AAC) for $385 million.
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Fresenius Medical Care of North America Announces Acquisition of National Vascular Care

Fresenius Medical Care, the world's largest provider of dialysis services and products, today announced that its subsidiary, U.S. Vascular Access Holdings, LLC has completed the acquisition of National Vascular Care, Inc. Based in Rosemont, Pennsylvania, National Vascular Care is a premier provider of vascular services that works in partnership with leading vascular surgeons, nephrologists, interventional radiologists and cardiologists throughout the United States to develop, own and manage specialty outpatient surgery centers dedicated to improving the delivery of vascular care in the U.S.
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