Gramercy Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GRAMERCY MEDICAL PC

Practice address

3120 54TH St Ste L2
Woodside, NY 11377-1549

Phone

(718) 476-5859

NPI assigned

May 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Ann Winheim

Title

Credentialing Agent

Phone

(845) 270-7648

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1174014971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 54TH ST STE L2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771549",
            "telephone_number": "718-476-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 54TH ST STE L2",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771549",
            "telephone_number": "718-476-5859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E 21st St Apt 1H",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100106401",
            "country_code": "US",
            "telephone_number": "718-476-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAMERCY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "WINHEIM",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "845-270-7648"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1821120833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clyde Lace De Guzman Gorobat
• Eric Paul Gothelf, DMD
• Jonathan Gottlieb, LCSW
• Thanesha Graham, PHARMACIST
• Angela Gralian
• Greater New York Ophthalmology Care, PLLC
• Allegra Greenberg, MS CCC-SLP
• Nisaa N Greenley, MSW
• Ilya Grinberg, M.D
• Griselda M.Bartha

• Internal Medicine Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.