Individual provider Active NPI

Lawrence J Ottaviano, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1538112461
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
170703 Issued in NY
Practice address
60 Gramercy Park N
Suite 1B
New York, NY 10010-5423
Phone
(212) 254-1220
Fax
(212) 254-1387
NPI assigned
May 19, 2006
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 170703 NY Primary

Addresses

Primary practice location

60 Gramercy Park N
Suite 1B
New York, NY 10010-5423

Mailing address

60 Gramercy Park N
Suite 1B
New York, NY 10010-5423
Phone (212) 254-1220

Other identifiers 1

IdentifierTypeStateIssuer
01152450MedicaidNY

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
I20040526001332 NY Practitioner - Gastroenterology 8224019112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Health Center IncGroup PAC ID 1951290204, 33 clinicians
Gramercy Park Gastroenterology PCGroup PAC ID 6709917537, 4 clinicians

Practice addresses (Care Compare)

160 W 26TH St
FL 4
New York, NY 10001-6975

275 7TH Ave
FL 4
New York, NY 10001-6757
Phone (212) 924-2510

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

Merit-based Incentive Payment System (MIPS)

Final score
18.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy141
Upper gastrointestinal (GI) endoscopy for acid reflux92
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170703NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Health Center CurrentSince Aug 10, 2021 Accepting new patients
Gramercy Park Gastroenterology PC CurrentSince Feb 28, 2010 Accepting new patients
Union Health Center, Inc CurrentSince Aug 10, 2021 Accepting new patients
Lower Manhattan Gastroenterology Group, P.C. Gastroenterology PastSince Jan 1, 2006 Accepting new patients
Eastside Alliance Medical Associates, P.C. Gastroenterology PastSince Apr 9, 2008 Accepting new patients
KML Medical Associates, P.C. Gastroenterology PastSince Feb 1, 2006 Accepting new patients

Locations

160 W 26th St
Fl 4
New York, NY 10001
Phone (212) 812-3736

250 Park Ave S
New York, NY 10003
Phone (212) 979-3237

250 Park Ave S
Fl 8
New York, NY 10003
Phone (212) 979-3237

275 7th Ave
New York, NY 10001
Phone (212) 604-1701

275 7th Ave
Fl 4
New York, NY 10001
Phone (212) 812-3542

303 5th Ave
Rm 1205
New York, NY 10016

60 Gramercy Park N
Apt 1B
New York, NY 10010
Phone (212) 979-3237

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

Networks

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

Organizations & group practices 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1538112461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GRAMERCY PARK N",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105423",
            "telephone_number": "212-254-1220",
            "fax_number": "212-254-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GRAMERCY PARK N",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105423",
            "telephone_number": "212-254-1220",
            "fax_number": "212-254-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAVIANO",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "170703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01152450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.