Gramercy Prosthodontics, PLLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

GRAMERCY PROSTHODONTICS, PLLC

Practice address

130 E 18TH St Ofc 1M
New York, NY 10003-2400

Phone

(212) 254-5454

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Caroline Barsoum, DMDNPI 1871729830

Title

Managing Member

Phone

(212) 254-5454

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline Barsoum, D.M.D

  • Prosthodontics
  • New York, NY
  • NPI 1871729830
  NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1437767936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 18TH ST OFC 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032400",
            "telephone_number": "212-254-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 18TH ST OFC 1M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032400",
            "telephone_number": "212-254-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY PROSTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "212-254-5454",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@iadentistry.com",
            "affiliation": "N",
            "address_1": "130 E 18th St Ofc 1M",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100032400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gramercy Park Physicians LLP
• Gramercy Park Podiatry, PLLC
• Gramercy Park Services, LLC
• Gramercy Physical Therapy PC
• Gramercy Podiatric Surgical Suite
• Gramercy Psychological Services LLC
• Gramercy Smiles
• Gramercy Smiles Dental
• Gramercy Surgery Center, Inc
• Gramercy Surgery Center, Inc (Gramercy Surgery Center Anesthesia)

• Prosthodontics in New York, NY
• Providers in New York, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.