Individual provider Active NPI

Stanley Jason Gromelski, PHYSICAL THERAPIST

  • Physical Therapist
  • New York, NY
National Provider Identifier
1598713323
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022090 Issued in NY
Practice address
2 W 45TH St
Suite 208
New York, NY 10036-4212
Phone
(212) 840-6652
Fax
(212) 840-6022
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 022090 NY Primary

Addresses

Primary practice location

2 W 45TH St
Suite 208
New York, NY 10036-4212

Mailing address

2 W 45TH St
Suite 208
New York, NY 10036-4212
Phone (212) 840-6652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000529 NY Practitioner - Physical Therapist in Private Practice 4082789219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Nola Physical Therapy, P.C.Group PAC ID 5092852913, 3 clinicians

Practice addresses (Care Compare)

2 W 45TH St
Suite 208
New York, NY 10036-4268
Phone (212) 840-6652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nola Physical Therapy, P.C. Physical Therapist CurrentSince Aug 16, 2009 Accepting new patients
Nola Darien, LLC Past Accepting new patients

Locations

2 W 45th St
Ste 208
New York, NY 10036
Phone (212) 840-6652

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1598713323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST",
            "address_2": "SUITE 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364212",
            "telephone_number": "212-840-6652",
            "fax_number": "212-840-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 45TH ST",
            "address_2": "SUITE 208",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364212",
            "telephone_number": "212-840-6652",
            "fax_number": "212-840-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMELSKI",
        "first_name": "STANLEY",
        "middle_name": "JASON",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022090",
            "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 May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.