Active NPI
Gramercy Park Gastroenterology PC
- Specialist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GRAMERCY PARK GASTROENTEROLOGY PC
- Practice address
- 60 Gramercy Park N
New York, NY 10010-5423 - Phone
- (212) 845-9255
- Fax
- (347) 602-4674
- NPI assigned
- Feb 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence John Ottaviano, MD
- Title
- Owner
- Phone
- (212) 845-9255
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
60 Gramercy Park N
New York, NY 10010-5423
Mailing address
303 5TH Ave
Suite #1205
New York, NY 10016-6601
Phone (212) 845-9255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2265981 | Gramercy Park Gastroenterology, PC | Compliance | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
250 Park Ave S
New York, NY 10003
Phone (212) 979-3237
303 5th Ave
Rm 1205
New York, NY 10016
227 E 19th St
#2
New York, NY 10003
2 Bennett Ave
Fl 2
New York, NY 10033
Phone (212) 364-7090
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- New York, NY
- NPI 1538112461
-
- Gastroenterology Physician
- New York, NY
- NPI 1225448715
-
- Anatomic Pathology & Clinical Pathology Physician
- Livingston, NJ
- NPI 1649405473
NY
-
- Anatomic Pathology & Clinical Pathology Physician
- Red Bank, NJ
- NPI 1356584650
NY
-
- Anatomic Pathology & Clinical Pathology Physician
- Philadelphia, PA
- NPI 1023471745
NY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311206400000",
"number": "1407178759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 5TH AVE",
"address_2": "SUITE #1205",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166601",
"telephone_number": "212-845-9255",
"fax_number": "347-602-4674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 GRAMERCY PARK N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105423",
"telephone_number": "212-845-9255",
"fax_number": "347-602-4674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAMERCY PARK GASTROENTEROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-26",
"last_updated": "2011-07-21",
"status": "A",
"authorized_official_last_name": "OTTAVIANO",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-845-9255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Gramercy Interventional Pain Medicine PLLC
- Gramercy MRI and Diagnostic Radiology, PC
- Gramercy Obs Facility LLC
- Gramercy Park Dental Services
- Gramercy Park Dermatology Associates, PC
- Gramercy Park Medical Associates, PC
- Gramercy Park Physical Medicine and Rehabilitation PC
- Gramercy Park Physicians LLP
- Gramercy Park Podiatry, PLLC
- Gramercy Park Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.