Organization Active NPI

Gpddc, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
National Provider Identifier
1619166097
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GPDDC, LLC
Practice address
250 Park Ave S
8TH Floor
New York, NY 10003-1402
Phone
(212) 979-3237
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NY Primary

Addresses

Primary practice location

250 Park Ave S
8TH Floor
New York, NY 10003-1402

Mailing address

250 Park Ave S FL 8
New York, NY 10003-1402
Phone (212) 979-3237

Other practice location 1

2 Bennett Ave Fl 2
New York, NY 10033-2148
Phone (212) 979-3237

Other practice location 2

36 E 31st St Fl 10
New York, NY 10016-6821
Phone (212) 979-3237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080117000176 NY Part B Supplier - Ambulatory Surgical Center 9931280856 Practice locations: New York, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Gpddc LLCCCN 33C0001100
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2169378Gpddc LLC2 Bennett Ave - 2ND Floor, New York, NY 10033Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2 Bennett Ave
New York, NY 10033
Phone (917) 388-3204

36 E 31st St
Fl 10
New York, NY 10016
Phone (212) 979-3237

Practitioners & affiliated clinicians

Practitioners 1

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1619166097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARK AVE S FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031402",
            "telephone_number": "212-979-3237",
            "fax_number": "212-979-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARK AVE S",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031402",
            "telephone_number": "212-979-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Bennett Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100332148",
            "country_code": "US",
            "telephone_number": "212-979-3237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 E 31st St Fl 10",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166821",
            "country_code": "US",
            "telephone_number": "212-979-3237",
            "fax_number": "212-979-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GPDDC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": null,
            "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 21, 2025; 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.