Provider Type Icon

GRAMERCY PARK GASTROENTEROLOGY PC NPI 1407178759


NPI Information

NPI: 1407178759
Provider Name: GRAMERCY PARK GASTROENTEROLOGY PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
60 GRAMERCY PARK N
NEW YORK, NY
ZIP 10010
Phone: (212) 845-9255
Get Directions

GRAMERCY PARK GASTROENTEROLOGY PC is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GRAMERCY PARK GASTROENTEROLOGY PC NPI is 1407178759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 GRAMERCY PARK N
NEW YORK, NY
ZIP 10010-423
Phone: (212) 845-9255
Fax: (347) 602-4674

The provider's authorized official is Lawrence John Ottaviano .
The authorized official title is Owner and has the following contact phone number (212) 845-9255.

The enumeration date for this NPI number is 2/26/2010 and was last updated on 7/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A400027196MEDICARE PINNEW YORK
2A100027197MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.