Organization Active NPI

Gramercy Park Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1548429152
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
163001 Issued in NY
Legal business name
GRAMERCY PARK PHYSICAL MEDICINE AND REHABILITATION PC
Practice address
7 Gramercy Park W Ste 1a
New York, NY 10003-1759
Phone
(212) 254-7588
Fax
(212) 677-0447
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Mrs. Naveda Sheikh
Title
Office Manager
Phone
(212) 254-7588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 163001 NY Primary

Addresses

Primary practice location

7 Gramercy Park W Ste 1a
New York, NY 10003-1759

Mailing address

7 Gramercy Park W Ste 1a
New York, NY 10003-1759
Phone (212) 254-7588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081208000232 NY Part B Supplier - Clinic/Group Practice 5799846853 Receives reassigned benefits from 1 practitioner
Practice locations: Bayside, NY; Bronx, NY; New York, NY; Westbury, NY

National Provider Directory

National Provider Directory

Locations

244 Broadway
Newburgh, NY 12550
Phone (212) 254-7588

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1548429152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRAMERCY PARK W STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031759",
            "telephone_number": "212-254-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GRAMERCY PARK W STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031759",
            "telephone_number": "212-254-7588",
            "fax_number": "212-677-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY PARK PHYSICAL MEDICINE AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "NAVEDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-254-7588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "163001",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 15, 2017; 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.