Stanley L. Greenbaum MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

100540 Issued in NY

Legal business name

STANLEY L. GREENBAUM MD PC

Practice address

12A N Airmont Rd
Suffern, NY 10901-5105

Phone

(845) 368-2007

Fax

(845) 368-1360

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stanley L. Greenbaum, M.D.

Title

President

Phone

(845) 368-2007

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144362823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12A N AIRMONT RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015105",
            "telephone_number": "845-368-2007",
            "fax_number": "845-368-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12A N AIRMONT RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015105",
            "telephone_number": "845-368-2007",
            "fax_number": "845-368-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY L. GREENBAUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-368-2007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "100540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00172385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole Stack
• Susan Stanhope, RN
• Lesley Ann Stead, M.D.
• Carrie Steen, LPN
• Renee Stefansky, OTR/L
• Edmund J. Steigman, DMD
• Stephen a Klein MD PC (Healthmed Plus)

• Gastroenterology Physician in Suffern, NY
• Providers in Suffern, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.