Gramercy Medical Pain Management P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

231296-1 Issued in NY

Legal business name

GRAMERCY MEDICAL PAIN MANAGEMENT P.A.

Doing business as

Gramercy Pain Management P.A.

Practice address

67 S Main St
Pearl River, NY 10965-2444

Phone

(845) 368-0800

Fax

(845) 368-0810

NPI assigned

Jun 29, 2008

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Lawrence Gottlieb, M.D.NPI 1720185515

Title

Director

Phone

(845) 368-0800

Specialties & licenses 1

Addresses

Other names 1

• Gramercy Pain Management P.A. Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Locations

Practitioners 8

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.

• Scott Lawrence Gottlieb, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Pearl River, NY
  • NPI 1720185515

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Justin Balavram

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1609325190

  NY

  Medicare reassignment Care Compare group NPD
• Todd Bradley Askenas, D.C.

  • Chiropractor
  • Pearl River, NY
  • NPI 1467466011
  NPD
• Rachel Gottlieb, LCSW

  • Clinical Social Worker
  • Montebello, NY
  • NPI 1114328820
  NPD
• Kimberly Theresa McClintock-Walla, NP

  • Adult Health Nurse Practitioner
  • Pearl River, NY
  • NPI 1750163705
  NPD
• Zachary Truncali, D.C., LAC

  • Chiropractor
  • Marlboro, NY
  • NPI 1518493477

  Multi-Specialty

  NPD
• Neil S Roth, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • New York, NY
  • NPI 1689606998
  NPD (past)
• Marcel Zeien

  • Acupuncturist
  • Nanuet, NY
  • NPI 1134626963
  NPD (past)

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1407018633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109650146",
            "telephone_number": "845-368-0800",
            "fax_number": "845-368-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 S MAIN ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652444",
            "telephone_number": "845-368-0800",
            "fax_number": "845-368-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY MEDICAL PAIN MANAGEMENT P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-368-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "231296-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gramercy Pain Management P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julia Rachel Glanternik, M.D.
• Caren Goldberg
• Michele M Gomez, PT
• Patricia F Gorham
• Scott Lawrence Gottlieb, M.D.
• Mark L. Greenberg, O.D.
• Patricia Ann Grego
• Jennifer Griggs, LMT
• Danielle Guagenti
• John Victor Guglielmucci, D.C.

• Specialist in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.