Individual provider Active NPI

Joel Gary Greenspan, MD

  • Specialist
  • New Rochelle, NY
National Provider Identifier
1235206475
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
828 Pelhamdale Ave
New Rochelle, NY 10801-1024
Phone
(800) 738-1659
Fax
(704) 871-2127
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

828 Pelhamdale Ave
New Rochelle, NY 10801-1024

Mailing address

PO Box 5938
Statesville, NC 28687-5938
Phone (866) 326-3056

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Greensboro
Other URL Statesville

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
I20101004000453 NY Practitioner - Anesthesiology 5294762308 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nye Medical Services PC CurrentSince Jun 14, 2010 Accepting new patients
Anesthesia Consultants of Essex PA Specialist Past Accepting new patients

Locations

1101 Pelham Pkwy N
Bronx, NY 10469
Phone (718) 515-3500

Networks

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

Organizations & group practices 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1235206475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5938",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286875938",
            "telephone_number": "866-326-3056",
            "fax_number": "844-239-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 PELHAMDALE AVE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011024",
            "telephone_number": "800-738-1659",
            "fax_number": "704-871-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "JOEL",
        "middle_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greensboro",
            "affiliation": "N",
            "address_1": "828 Pelhamdale Ave",
            "city": "New Rochelle",
            "state": "NY",
            "country_code": "US",
            "postal_code": "108011024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Statesville",
            "affiliation": "N",
            "address_1": "828 Pelhamdale Ave",
            "city": "New Rochelle",
            "state": "NY",
            "country_code": "US",
            "postal_code": "108011024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.