NPIMap

Organization Active NPI

Gramercy Interventional Pain Medicine PLLC

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1598065088
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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.NPI 1841482106
Title
Owner
Phone
(212) 217-2804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 245383 NY Primary

Addresses

Primary practice location

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

Mailing address

PO Box 548
Holmdel, NJ 07733-0548

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

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 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.