Marvin H. Greenbaum, M.D. PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MARVIN H. GREENBAUM, M.D. PC

Practice address

501 Belmont Ave
Bala Cynwyd, PA 19004-1302

Phone

(610) 667-4066

Fax

(610) 667-7955

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith J Mathers, M.D.NPI 1295989523

Title

Ophthalmology

Phone

(610) 667-4066

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Jeffrey Mathers, M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1295989523
  Medicare reassignment Care Compare group NPD Authorized official
• Ralph J Di Giovanni Jr., M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1053428144
  Medicare reassignment Care Compare group NPD
• Jazmin A Logendra, O.D.

  • Optometrist
  • Philadelphia, PA
  • NPI 1689873465
  Medicare reassignment Care Compare group NPD
• Bhawanjot Minhas, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1174963292
  Medicare reassignment Care Compare group NPD
• Marvin H Greenbaum, M.D.

  • Ophthalmology Physician
  • Bala Cynwyd, PA
  • NPI 1073620472
  Medicare reassignment NPD
• Deborah Herrmann, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1346357548
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1154438521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041302",
            "telephone_number": "610-667-4066",
            "fax_number": "610-667-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BELMONT AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041302",
            "telephone_number": "610-667-4066",
            "fax_number": "610-667-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN H. GREENBAUM, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "MATHERS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPHTHALMOLOGY",
        "authorized_official_telephone_number": "610-667-4066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG3941",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael James Mandarino Jr., M.D.
• Richard J Mandel, M.D.
• Samuel J Manfrey, D.O.
• Andrew Marinchenko, DMD
• Romina Elizabeth Martinez, BCBA
• Mary J Drexel Home
• Lisa Maslow
• Keith Jeffrey Mathers, M.D.
• Jane M Mathisen, MD
• Kent C Matthies

• Ophthalmology Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.