Individual provider Active NPI

Mary M Gratch, MD

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1174611826
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200676 Issued in NY
Practice address
38 E 32ND St FL 4
New York, NY 10016-5567
Phone
(212) 683-3595
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 200676 NY Primary

Addresses

Primary practice location

38 E 32ND St FL 4
New York, NY 10016-5567

Mailing address

303 W 66TH St
20 LW
New York, NY 10023-6305
Phone (718) 960-9415

Other practice location 1

4422 third ave
bronx, NY 10457
Phone (718) 960-9415

Other identifiers 1

IdentifierTypeStateIssuer
01780212MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgratch260807@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100202000186 NY Practitioner - Obstetrics/Gynecology 2567505332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Stony Brook, School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200676NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Obstetrics & Gynecology CurrentSince Jul 1, 2018 Accepting new patients
Montefiore Medical Center Obstetrics & Gynecology CurrentSince Jun 28, 2024 Accepting new patients
New York University CurrentSince Jul 1, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Jun 28, 2024 Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4422 3rd Ave
#P
Bronx, NY 10457
Phone (718) 960-9415

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

38 E 32nd St
Fl 4
New York, NY 10016
Phone (212) 683-3595

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mgratch260807@nyumc.direct-ci.com
  • Direct secure messaging: mgratch@montefioredirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1174611826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 66TH ST",
            "address_2": "20 LW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236305",
            "telephone_number": "718-960-9415",
            "fax_number": "718-960-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E 32ND ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165567",
            "telephone_number": "212-683-3595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4422 third ave",
            "address_purpose": "LOCATION",
            "city": "bronx",
            "state": "NY",
            "postal_code": "10457",
            "country_code": "US",
            "telephone_number": "718-960-9415",
            "fax_number": "718-960-9414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRATCH",
        "first_name": "MARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "200676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01780212",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgratch260807@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "38 E 32nd St Fl 4",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100165567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.