Individual provider Active NPI

Tirza Greer, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1164552436
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
246022 Issued in NY
Practice address
2532 Grand Concourse
Department of Pediatrics 2ND Floor
Bronx, NY 10458-4902
Phone
(718) 960-1500
Fax
(718) 960-1500
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 246022 NY Primary

Addresses

Primary practice location

2532 Grand Concourse
Department of Pediatrics 2ND Floor
Bronx, NY 10458-4902

Mailing address

2532 Grand Concourse
Department of Pediatrics 2ND Floor
Bronx, NY 10458-4902
Phone (718) 960-1500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080430000806 NY Practitioner - Pediatric Medicine 7113006248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1164552436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 GRAND CONCOURSE",
            "address_2": "DEPARTMENT OF PEDIATRICS 2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584902",
            "telephone_number": "718-960-1500",
            "fax_number": "718-960-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 GRAND CONCOURSE",
            "address_2": "DEPARTMENT OF PEDIATRICS 2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584902",
            "telephone_number": "718-960-1500",
            "fax_number": "718-960-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "TIRZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "246022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.