Organization Active NPI

Gramaercy Park Medical Group

  • Methadone Clinic
  • New York, NY
National Provider Identifier
1396843967
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
GRAMAERCY PARK MEDICAL GROUP
Practice address
253 3Rd Ave # 55
New York, NY 10010-7401
Phone
(212) 475-1900
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Felicitas AmadorNPI 1124031265
Title
Medical Director
Phone
(212) 475-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

253 3Rd Ave # 55
New York, NY 10010-7401

Mailing address

253 3Rd Ave
New York, NY 10010-7401

National Provider Directory

National Provider Directory

Locations

253 3rd Ave
New York, NY 10010
Phone (212) 475-1900

253 3rd Ave
#55
New York, NY 10010
Phone (212) 475-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396843967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 3RD AVE # 55",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107401",
            "telephone_number": "212-475-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMAERCY PARK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "FELICITAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-475-1900"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.