Keith H Greenberg, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

222711 Issued in NY

Practice address

200 W 54TH St
Suite 1C
New York, NY 10019-5504

Phone

(212) 664-0030

Fax

(212) 664-8506

NPI assigned

Nov 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Midtown Medical Care, P.C.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1184742132

  Family Medicine

  NPD (past)
• New York Walk-in Medical Group, PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1083814974
  NPD (past)
• Ocean Medical Care PC

  • Family Medicine Physician
  • Belle Harbor, NY
  • NPI 1336124536
  NPD (past)
• South Ocean Care LLC

  • Clinic/Center
  • Freeport, NY
  • NPI 1205811049
  NPD (past)
• S.P.O.R.T. Physical Therapy Clinic

  • Physical Therapy Clinic/Center
  • Lewiston, ID
  • NPI 1215011754
  NPD (past)

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1215008339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613938",
            "telephone_number": "516-432-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 54TH ST",
            "address_2": "SUITE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195504",
            "telephone_number": "212-664-0030",
            "fax_number": "212-664-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "KEITH",
        "middle_name": "H",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Diane Greenberg, M.D.
• Jason Greenberg, PH.D.
• Jodi Greenberg, AGACNP
• Jordan Greenberg, MA, MHC-LP
• Judith Lynn Greenberg, LCSW
• Kenneth Greenberg, M.D.
• Lauren Greenberg, OTR/L
• Laurie Greenberg, PH.D.
• Luke Greenberg, DPT, CSCS, ART
• Marc Oscar Greenberg, M.D.

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.