Michael Benjamin Greenspan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

044-527 Issued in CT

Practice address

Zucker Hillside Hospital, Kaufman BLDG
75-59 263 St
Glen Oaks, NY 11004

Phone

(718) 470-8245

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1164442802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ZUCKER HILLSIDE HOSPITAL- 75-59 263 ST",
            "address_2": "KAUFMAN BLDG RM 211",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-470-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ZUCKER HILLSIDE HOSPITAL, KAUFMAN BLDG",
            "address_2": "75-59 263 ST",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "11004",
            "telephone_number": "718-470-8245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Ralston Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065172839",
            "country_code": "US",
            "telephone_number": "203-507-7097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "044-527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://zucker.northwell.edu/",
            "affiliation": "N",
            "endpointDescription": "organization web site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web site",
            "address_1": "Zucker Hillside Hospital, Kaufman Bldg",
            "address_2": "75-59 263 St",
            "city": "Glen Oaks",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Jonathan Goodman, MD
• Malkanthi Goonewardena
• Liana Gouliak, OPHTHALMIC DISPENSER
• Deandra Green
• Lynne Ellen Greene
• Blaine S Greenwald, MD
• Megan Ann Grella, LCSW
• Ravleen Kaur Grewal
• Michael Brandon Grody, M.D.
• Patricia Ann Gruner, PH.D.

• Psychiatry Physician in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.