Active NPI
Gramercy Pain Center LLC
- Interventional Pain Medicine Physician
- Holmdel, NJ
National Provider Identifier
1902125370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 25MA08418300
- Legal business name
- GRAMERCY PAIN CENTER LLC
- Practice address
- 717 N Beers St Ste 2D
Holmdel, NJ 07733-1525 - Phone
- (212) 217-2804
- NPI assigned
- May 25, 2010
- Last updated
- Nov 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ajay M Varma, M.D.
- Title
- Owner
- Phone
- (212) 217-2804
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 25MA08418300 | NJ | Primary |
Addresses
Primary practice location
717 N Beers St Ste 2D
Holmdel, NJ 07733-1525
Mailing address
10 Crawfords Corner Rd
P.O. Box 548
Holmdel, NJ 07733-1908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10 Crawfords Corner Rd
Unit 548
Holmdel, NJ 07733
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Interventional Pain Medicine Physician
- Holmdel, NJ
- NPI 1841482106
-
- Physical Medicine & Rehabilitation Physician
- Hamilton, NJ
- NPI 1033158282
-
- Interventional Pain Medicine Physician
- Holmdel, NJ
- NPI 1760807184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288742400000",
"number": "1902125370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CRAWFORDS CORNER RD",
"address_2": "P.O. BOX 548",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 N BEERS ST STE 2D",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331525",
"telephone_number": "212-217-2804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAMERCY PAIN CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-25",
"last_updated": "2010-11-03",
"status": "A",
"authorized_official_last_name": "VARMA",
"authorized_official_first_name": "AJAY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-217-2804",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NJ",
"license": "25MA08418300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.