Organization Active NPI

SVC of Gramercy LLC

  • Optometrist
  • New York, NY
National Provider Identifier
1972206860
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SVC OF GRAMERCY LLC
Practice address
147 3Rd Ave
New York, NY 10003-2523
Phone
(212) 505-7600
Fax
(212) 505-7603
NPI assigned
Mar 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Nicole Melendez
Title
Credentialing
Phone
(631) 727-2858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

147 3Rd Ave
New York, NY 10003-2523

Mailing address

147 3Rd Ave
New York, NY 10003-2523
Phone (212) 505-7600

National Provider Directory

National Provider Directory

Locations

147 3rd Ave
New York, NY 10003
Phone (212) 505-7600

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1972206860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032523",
            "telephone_number": "212-505-7600",
            "fax_number": "212-505-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032523",
            "telephone_number": "212-505-7600",
            "fax_number": "212-505-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVC OF GRAMERCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "631-727-2858"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.