Organization Active NPI

Gramercy Surgery Center, Inc

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1851045298
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GRAMERCY SURGERY CENTER, INC
Practice address
380 2ND Ave Ste 1000B
New York, NY 10010-5615
Phone
(212) 254-3570
NPI assigned
Feb 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Austin Cheng
Title
Ceo
Phone
(646) 350-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

380 2ND Ave Ste 1000B
New York, NY 10010-5615

Mailing address

380 2ND Ave Ste 1000B
New York, NY 10010-5615
Phone (212) 254-3570

Other practice location 1

59-25 Kissena Blvd.
Suite B
Flushing, NY 11355-5565
Phone (718) 280-9788

Other names 1

  • Gramercy Surgery Center Anesthesia Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220411002144 NY Part B Supplier - Clinic/Group Practice 2769480615 Receives reassigned benefits from 6 practitioners
Practice locations: Flushing, NY; New York, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
33D2090441Gramercy Surgery Center Queens59-25 Kissena Blvd - Suite 100, Flushing, NY 11355Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

5925 Kissena Blvd
Ste B
Flushing, NY 11355
Phone (718) 280-9788

380 2nd Ave
Ste 1000B
New York, NY 10010
Phone (212) 254-3570

Practitioners & affiliated clinicians

Practitioners 7

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": "1643932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1851045298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 2ND AVE STE 1000B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-254-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVE STE 1000B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-254-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59-25 Kissena Blvd.",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113555565",
            "country_code": "US",
            "telephone_number": "718-280-9788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAMERCY SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-350-3333"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gramercy Surgery Center Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 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.