Gramatan Health Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GRAMATAN HEALTH SUPPLIES LLC

Practice address

504 Gramatan Ave Ste 100
Mount Vernon, NY 10552-3009

Phone

(866) 786-2624

Fax

(866) 242-6337

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Vikram Ravikumar

Title

Coo

Phone

(914) 479-5108

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1881301018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PALISADE ST STE LL-11",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221695",
            "telephone_number": "914-231-6385",
            "fax_number": "866-598-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GRAMATAN AVE STE 100",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523009",
            "telephone_number": "866-786-2624",
            "fax_number": "866-242-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMATAN HEALTH SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "RAVIKUMAR",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "914-479-5108"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecille Gordon, D.M.D.
• Lemar Anthony Gordon, LPN
• Randall Gordon Jr.
• Kiana Goshorn
• Monique Graham, RN
• Gramatan Pharmacy Corp
• Michele Grant
• Teresa Grant, LMSW
• Daryl Wesley Graves, MD
• Nicodee Simone Gray-Brooks

• Durable Medical Equipment & Medical Supplies in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.