William Jay Greenberg, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

175281-1 Issued in NY

Practice address

455 Central Park Ave
Scarsdale, NY 10583-1060

Phone

(914) 819-0409

NPI assigned

Oct 10, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1073764809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 E 77TH ST APT LL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100752157",
            "telephone_number": "212-253-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831060",
            "telephone_number": "914-819-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 E 77th St Apt Ll",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100752157",
            "country_code": "US",
            "telephone_number": "212-253-7138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "WILLIAM",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-10",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "175281-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuisa Gonzalez, MSED
• Shirin Priyani Goonewardene, M.D.
• Renato Tomas Grammatica, P.T.
• Gabriela Grasa, MD
• Dorian L Gravenese, M.D.
• David Mitchell Greene, D.M.D.
• Kara Grifonetti, OTR/L
• Gristedes Operating Corp
• Lacey Leigh Groark, DPT
• Barry Grossbaum, OPTICIAN

• Procedural Dermatology Physician in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.