Active NPI
Beverly Cypen Greenberg, D.O.
- Family Medicine Physician
- Weston, FL
National Provider Identifier
1053670125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36972
- Practice address
- 2690 Hackney Rd
Weston, FL 33331-3003 - Phone
- (954) 384-1852
- Fax
- (954) 384-6130
- NPI assigned
- May 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36972 | FL | Primary |
Addresses
Primary practice location
2690 Hackney Rd
Weston, FL 33331-3003
Mailing address
2690 Hackney Rd
Weston, FL 33331-3003
Phone (954) 384-1852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36972 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336608000000",
"number": "1053670125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 HACKNEY RD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313003",
"telephone_number": "954-384-1852",
"fax_number": "954-384-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 HACKNEY RD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313003",
"telephone_number": "954-384-1852",
"fax_number": "954-384-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "BEVERLY",
"middle_name": "CYPEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2012-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "36972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.