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GRAMERCY PARK PODIATRY PLLC NPI 1508914193


NPI Information

NPI: 1508914193
Provider Name: GRAMERCY PARK PODIATRY, PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 33D2124858

Address:
380 2ND AVE
SUITE 303
NEW YORK, NY
ZIP 10010
Phone: (212) 995-1500
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GRAMERCY PARK PODIATRY, PLLC is a podiatrist in New York, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GRAMERCY PARK PODIATRY, PLLC NPI is 1508914193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

380 2ND AVE
SUITE 303
NEW YORK, NY
ZIP 10010-615
Phone: (212) 995-1500
Fax: (212) 473-8563

The provider's authorized official is Paul J Betschart .
The authorized official title is President and has the following contact phone number (212) 995-1500.

The CLIA number assigned to this NPI record is 33D2124858 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 1/18/2008.


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
1213E00000XPodiatristN005002NEW YORKYes

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
15645570001MEDICARE NSCNEW 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: 11/14/2023

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