Gramercy Interventional Pain Medicine PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

245383 Issued in NY

Legal business name

GRAMERCY INTERVENTIONAL PAIN MEDICINE PLLC

Practice address

67 Irving PL FL 10
New York, NY 10003-2252

Phone

(212) 217-2804

NPI assigned

Oct 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ajay Varma, M.B. CH.B.

Title

Owner

Phone

(212) 217-2804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1598065088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077330548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IRVING PL FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032252",
            "telephone_number": "212-217-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY INTERVENTIONAL PAIN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "VARMA",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-217-2804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.B. CH.B."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "245383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.