Individual provider Active NPI

Denis Gratsianskiy

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1659865541
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME161964 Issued in FL
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

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250609002125 NY Practitioner - General Surgery 4880052745 Reassigns benefits to 2 organizations
I20250827000956 NJ Practitioner - General Surgery 4880052745 Reassigns benefits to 2 organizations

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
Related Surgical Specialties, PCGroup PAC ID 7810351459, 12 clinicians
Surgical Specialists of Greater Ny LLPGroup PAC ID 3375729833, 12 clinicians

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

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
334308NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Related Surgical Specialties, PC Surgery CurrentSince Sep 30, 2025 Accepting new patients
Surgical Specialists of New Jersey New York PC Surgery CurrentSince Jul 14, 2025 Accepting new patients
Northeast Surgical Specialists of NJ PC Surgery CurrentSince Nov 12, 2025 Accepting new patients
Related Surgical Specialties, PC Surgery CurrentSince Sep 30, 2025 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

  • Direct secure messaging: dgratsianskiy65707@northwell.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.