Individual provider Active NPI

Lorenzo Ottaviano, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1225448715
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
289989-1 Issued in NY
Practice address
60 Gramercy Park N Ste 1M
New York, NY 10010-5423
Phone
(212) 254-2777
Fax
(212) 254-1387
NPI assigned
May 6, 2014
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 289989-1 NY
Gastroenterology Physician 207RG0100X 289989-1 NY Primary

Addresses

Primary practice location

60 Gramercy Park N Ste 1M
New York, NY 10010-5423

Mailing address

PO Box 1554
Stony Brook, NY 11790-0988
Phone (631) 707-3677

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
I20170808000501 NY Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Hospitalist 9739450875 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hemant Patel MD PCGroup PAC ID 3971608522, 13 clinicians
Gramercy Park Gastroenterology PCGroup PAC ID 6709917537, 4 clinicians

Practice addresses (Care Compare)

110 W 97 St
New York, NY 10025-6450
Phone (212) 531-7533

2255 -2257 Adam Clayton Powell Jr Blvd
New York, NY 10027-7807
Phone (212) 427-2100

60 Gramercy Park N
New York, NY 10010-5423
Phone (212) 254-2777

801 Amsterdam Ave
New York, NY 10025-5752
Phone (212) 531-7533

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289989-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Feb 27, 2023 Accepting new patients
New York City Gastroenterology PC Gastroenterology CurrentSince Aug 1, 2025 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Jul 1, 2017 Accepting new patients
Gramercy Park Gastroenterology PC CurrentSince May 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Gastroenterology CurrentSince May 1, 2022 Accepting new patients
Hemant Patel MD PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2022 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Feb 27, 2023 Accepting new patients
Caterina Oneto Araya, M.D., PLLC Gastroenterology CurrentSince Aug 18, 2024 Accepting new patients
Ryan-Chelsea Clinton Community Health Center Past Accepting new patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Past Accepting new patients

Locations

1001 Grand Concourse
Apt 1B
Bronx, NY 10452
Phone (718) 293-1230

3455 Boston Rd
Bronx, NY 10469
Phone (718) 617-6141

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

110 W 97th St
#0
New York, NY 10025

303 5th Ave
Rm 1205
New York, NY 10016

60 Gramercy Park N
Apt 1M1
New York, NY 10010
Phone (212) 254-2777

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

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

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1225448715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900988",
            "telephone_number": "631-707-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GRAMERCY PARK N STE 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105423",
            "telephone_number": "212-254-2777",
            "fax_number": "212-254-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "LORENZO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "289989-1",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "289989-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.