Active NPI
Lawrence J Ottaviano, M.D.
- Gastroenterology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 170703
- 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, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01152450 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 62.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 141 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 92 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170703 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Health Center | Current | Accepting new patients | |
| Gramercy Park Gastroenterology PC | Current | Accepting new patients | |
| Union Health Center, Inc | Current | Accepting new patients | |
| Lower Manhattan Gastroenterology Group, P.C. | Gastroenterology | Past | Accepting new patients |
| Eastside Alliance Medical Associates, P.C. | Gastroenterology | Past | Accepting new patients |
| KML Medical Associates, P.C. | Gastroenterology | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.