Organization Active NPI

Greenwood Medical Services

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1083883466
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
161503-1 Issued in NY
Legal business name
GREENWOOD MEDICAL SERVICES
Practice address
668 5TH Ave
Brooklyn, NY 11215-6305
Phone
(718) 499-4995
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Dr. Baburao Doddapaneni, M.D.
Title
Pain Management
Phone
(718) 499-4995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 161503-1 NY Primary

Addresses

Primary practice location

668 5TH Ave
Brooklyn, NY 11215-6305

Mailing address

4 Unadilla PL
Greenlawn, NY 11740-3010
Phone (718) 499-4995

Other identifiers 1

IdentifierTypeStateIssuer
00899394MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1083883466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 UNADILLA PL",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117403010",
            "telephone_number": "718-499-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156305",
            "telephone_number": "718-499-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "DODDAPANENI",
        "authorized_official_first_name": "BABURAO",
        "authorized_official_title_or_position": "PAIN MANAGEMENT",
        "authorized_official_telephone_number": "718-499-4995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "161503-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00899394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.