Active NPI
Dr. Mark Greenberg
- Optometrist
- Pearl River, NY
National Provider Identifier
1104005230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3359
- Legal business name
- DR. MARK GREENBERG
- Practice address
- 275 N Middletown Rd
Pearl River, NY 10965-1188 - Phone
- (845) 735-5757
- NPI assigned
- Oct 25, 2007
- Last updated
- Oct 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark L. Greenberg
- Title
- Owner
- Phone
- (845) 735-5757
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3359 | NY | Primary |
Addresses
Primary practice location
275 N Middletown Rd
Pearl River, NY 10965-1188
Mailing address
275 N Middletown Rd
Pearl River, NY 10965-1188
Phone (845) 735-5757
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Pearl River, NY
- NPI 1124008586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193270400000",
"number": "1104005230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651188",
"telephone_number": "845-735-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N MIDDLETOWN RD",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651188",
"telephone_number": "845-735-5757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MARK GREENBERG",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2007-10-25",
"status": "A",
"authorized_official_last_name": "GREENBERG",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-735-5757",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "3359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.