NPIMap

Organization Active NPI

Gramercy Medical Services P.C.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1639678428
Registry record updated Nov 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
251283 Issued in NY
Legal business name
GRAMERCY MEDICAL SERVICES P.C.
Practice address
13916 91St Ave
Jamaica, NY 11435-4219
Phone
(917) 854-6670
NPI assigned
Feb 7, 2018
Last updated
Nov 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2018

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

Authorized official

Name
Dr. Michelle Rotblat-Operman, MDNPI 1881716728
Title
President/Incorporator
Phone
(718) 989-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 251283 NY Primary

Addresses

Primary practice location

13916 91St Ave
Jamaica, NY 11435-4219

Mailing address

13916 91St Ave
Jamaica, NY 11435-4219

Other identifiers 1

IdentifierTypeStateIssuer
0316667MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180507000753 NY Part B Supplier - Clinic/Group Practice 5092079632 Receives reassigned benefits from 21 practitioners
Practice locations: Brooklyn, NY; Bronx, NY; Woodmere, NY; Wappingers Falls, NY; Valley Stream, NY; Staten Island, NY; Spring Valley, NY; Rhinebeck, NY…

National Provider Directory

National Provider Directory

Locations

41 Old Highland Tpke
Garrison, NY 10524

1 Grove St
Highland, NY 12528
Phone (845) 691-8399

2247 Greenville Tpke
Port Jervis, NY 12771
Phone (845) 697-0400

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542844800000",
    "number": "1639678428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13916 91ST AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13916 91ST AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354219",
            "telephone_number": "917-854-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMERCY MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-11-22",
        "status": "A",
        "authorized_official_last_name": "ROTBLAT-OPERMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT/INCORPORATOR",
        "authorized_official_telephone_number": "718-989-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "251283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0316667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2018; 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.