GRAMERCY PARK GASTROENTEROLOGY PC (NPI# 1407178759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407178759 |
| Entity Type | Organization |
| Organization Name | GRAMERCY PARK GASTROENTEROLOGY PC |
| Practice Address |
60 Gramercy Park N New York NY 10010-5423 |
| Mailing Address |
303 5th Ave Suite #1205 New York NY 10016-6601 |
| Practice Telephone | 2128459255 |
| Practice Fax Number | 3476024674 |
| Mailing Telephone | 2128459255 |
| Mailing Fax Number | 3476024674 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2011-07-21 |
| Authorized Official Name | DR. LAWRENCE JOHN OTTAVIANO (OWNER) |
| Authorized Official Telephone | 2128459255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
60 GRAMERCY PARK N |
| City | NEW YORK |
| State | NY |
| Zip Code | 10010-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013981380 | Mark Ira Siegel | Internal Medicine | 60 Gramercy Park N, Ground Floor, New York, NY 10010-5423 | 2006-02-14 |
| 1598038580 | Marie Pulini Md PC | Clinic/Center | 60 Gramercy Park N, New York, NY 10010-5423 | 2012-02-22 |
| 1538432851 | Gramercy Park Dermatology Associates, PC | Dermatology | 60 Gramercy Park N, Suite 1n, New York, NY 10010-5423 | 2012-02-16 |
| 1265723084 | Panta Rouhani Schaffer | Dermatology | 60 Gramercy Park N, Suite 1n, New York, NY 10010-5423 | 2011-04-27 |
| 1740449313 | Charles Oliner | Internal Medicine | 60 Gramercy Park N, Suite 1 B, New York, NY 10010-5423 | 2008-06-08 |
| 1053520411 | Gerald W. Shaftan | Surgery | 60 Gramercy Park N, Apartment 11a, New York, NY 10010-5423 | 2007-05-22 |
| 1164553392 | Andrew G. Franks, Jr. Md, PC | Specialist | 60 Gramercy Park N, Suite 1n, New York, NY 10010-5423 | 2007-03-08 |
| 1235283185 | Gramercy Park Medical Associates, PC | Internal Medicine | 60 Gramercy Park N, Suite 1b, New York, NY 10010-5423 | 2007-01-22 |
| 1407917909 | Marie Pulini | Internal Medicine | 60 Gramercy Park N, Suite 1a, New York, NY 10010-5423 | 2006-12-12 |
| 1861426207 | Linda K Franks | Specialist | 60 Gramercy Park N, New York, NY 10010-5423 | 2006-07-10 |
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| 1437779766 | Sunny Makhijani | Student in an Organized Health Care Education/Training Program | 423 E 23rd St, New York, Ny 10010, New York, NY 10010 | 2020-04-16 |
| 1528695004 | Marylee Ann Marre | Nurse Practitioner | 226 E 25th St Apt 3d, New York, NY 10010 | 2020-03-25 |
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| 1144703687 | Kimmy Ramotar | Psychologist | 115 E 23rd Street, 3rd Floor, #1513, New York, NY 10010 | 2018-09-11 |
| 1922580406 | Hye Soo Kim | Dentist | 345 E 24th St. 4w, New York, NY 10010 | 2018-08-31 |
| 1487172482 | Dominique Ann Williams | Psychologist | 295 Park Ave South, Apt# 17pho, New York, NY 10010 | 2017-08-30 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1275148652 | Gloria Li | Specialist | 959 1st Ave, New York, NY 10022-6649 | 2020-09-11 |
| 1700495041 | Ana Rosa Perez | Specialist | 318 E 116th St, New York, NY 10029-1506 | 2020-07-22 |
| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.