GRAMERCY PAIN MANAGEMENT P.A.
NPI 1407018633
Specialist in Pearl River, NY

Active since June 29, 2008
67 S MAIN ST, PEARL RIVER, NY 10965(845) 368-0800(845) 368-0810 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gramercy Pain Management P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAMERCY PAIN MANAGEMENT P.A. (NPI 1407018633) is a healthcare organization registered as a specialist in Pearl River, New York and active in the NPI registry since June 2008. The organization lists Scott Lawrence Gottlieb, Director, as its authorized official.

NPPES Registry Identity

NPI1407018633
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGRAMERCY MEDICAL PAIN MANAGEMENT P.A.
Location Address67 S MAIN STPearl River, NY 10965-2444
Mailing AddressPo Box 146Pearl River, NY 10965-0146 · (845) 368-0800 · Fax (845) 368-0810
Fax(845) 368-0810
Organization SubpartNo
Authorized OfficialScott Lawrence GottliebDirector · (845) 368-0800
Enumeration DateJune 29, 2008
Last NPPES UpdateOctober 17, 2014
✔ NPI 1407018633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 231296-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
67 S MAIN ST, Pearl River, NY 10965

Other Names 1

Doing Business AsGramercy Pain Management P.a.

Other Identifiers 1

Medicare UPINI26388NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gramercy Pain Management P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Gramercy Pain Management P.A., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Anesthesiology
NPI 1720185515
67 S MAIN ST
Pearl River, NY 10965
(845) 368-0800
✔ PECOS✔ Accepts Medicare0.4 mi
Physical Therapist in Private Practice
NPI 1609325190
605 MAIN ST
Hackensack, NJ 07601
(201) 488-0488
✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gramercy Medical Pain Management P.A.'s NPI number?

The NPI number for Gramercy Medical Pain Management P.A. is 1407018633. It was assigned to this organization in the NPPES registry on June 29, 2008. The provider is doing business as Gramercy Pain Management P.A..

Where is Gramercy Medical Pain Management P.A. located?

Gramercy Medical Pain Management P.A. is located at 67 S Main St, Pearl River, NY 10965. The listed phone number is (845) 368-0800.

What is Gramercy Medical Pain Management P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gramercy Medical Pain Management P.A. enrolled in Medicare?

Yes. Gramercy Medical Pain Management P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gramercy Medical Pain Management P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gramercy Medical Pain Management P.A., in Anesthesiology and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gramercy Medical Pain Management P.A. was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.