Active NPI
Denis Gratsianskiy
- Surgery Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME161964
- Practice address
- 5125 Palm Springs Blvd Unit 10309
Tampa, FL 33647-5017 - Phone
- (404) 907-8182
- NPI assigned
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME161964 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5125 Palm Springs Blvd Unit 10309
Tampa, FL 33647-5017
Mailing address
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-3000
Other practice location 1
1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1060 5TH Ave
Suite 1B
New York, NY 10128-0104
Phone (212) 988-8269
40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (718) 626-0707
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334308 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Related Surgical Specialties, PC | Surgery | Current | Accepting new patients |
| Surgical Specialists of New Jersey New York PC | Surgery | Current | Accepting new patients |
| Northeast Surgical Specialists of NJ PC | Surgery | Current | Accepting new patients |
| Related Surgical Specialties, PC | Surgery | Current | Accepting new patients |
| Lenox Hill Hospital | Past | Accepting new patients |
Locations
54 S Dean St
Englewood, NJ 07631
Phone (201) 871-4000
140 Sylvan Ave
Ste 213
Englewood Cliffs, NJ 07632
Phone (551) 444-2407
185 Cedar Ln
Ste L1
Teaneck, NJ 07666
Phone (201) 357-8888
3016 30th Dr
Ste 3B
Astoria, NY 11102
Phone (973) 972-2323
6110 Queens Blvd
Ste B
Woodside, NY 11377
Phone (917) 626-6457
Interoperability endpoints
- dgratsianskiy65707@northwell.direct-ci.com
- dgratsianskiy1675054@adventhealth.direct-ci.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- New York, NY
- NPI 1780308106
-
- Surgery Physician
- Oyster Bay, NY
- NPI 1023315512
-
- Surgery Physician
- Englewood Cliffs, NJ
- NPI 1780555060
-
- Surgery Physician
- Oyster Bay Cove, NY
- NPI 1245922574
NJ
-
- Surgery Physician
- Greenwich, CT
- NPI 1700661857
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1659865541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357745",
"telephone_number": "718-616-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 PALM SPRINGS BLVD UNIT 10309",
"city": "TAMPA",
"state": "FL",
"postal_code": "336475017",
"telephone_number": "404-907-8182"
}
],
"practiceLocations": [
{
"address_1": "1 Brookdale Plz",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112123139",
"country_code": "US",
"telephone_number": "718-240-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRATSIANSKIY",
"first_name": "DENIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME161964",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.