Paul M. Greenberg, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N004559 Issued in NY

Legal business name

PAUL M. GREENBERG, DPM

Practice address

101 W 79TH St
New York, NY 10024-6474

Phone

(212) 874-3578

Fax

(212) 496-6601

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul M Greenberg, D.P.M.

Title

President

Phone

(212) 874-3578

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Paul M. Greenberg, DPM Doing business as

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1164698171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246474",
            "telephone_number": "212-874-3578",
            "fax_number": "212-496-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246474",
            "telephone_number": "212-874-3578",
            "fax_number": "212-496-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M. GREENBERG, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-874-3578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N004559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01258662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul M. Greenberg, DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot Surgery Podiatrist in New York, NY
• Providers in New York, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.