Individual provider Active NPI

David Todd Greenspun, M.D.

  • Plastic Surgery Physician
  • Greenwich, CT
National Provider Identifier
1336248970
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
222157 Issued in NY
Practice address
2 Greenwich Office Park Ste 210
Greenwich, CT 06831-5155
Phone
(032) 863-0003
Fax
(212) 265-1776
NPI assigned
Sep 21, 2006
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 222157 NY Primary
Plastic Surgery Physician 208200000X 045603 CT

Addresses

Primary practice location

2 Greenwich Office Park Ste 210
Greenwich, CT 06831-5155

Mailing address

1776 Broadway
Suite 1200
New York, NY 10019-2002
Phone (212) 744-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 4, 2022 through Aug 4, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
045603CTMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic and Reconstructive Surgery Group, PC CurrentSince Aug 18, 2019 Accepting new patients

Locations

2 Greenwich Office Park
Ste 210
Greenwich, CT 06831
Phone (203) 863-0003

1776 Broadway
Ste 1200
New York, NY 10019
Phone (212) 707-8660

Interoperability endpoints

  • Direct secure messaging: david.greenspun@direct.hvhc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1336248970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 BROADWAY",
            "address_2": "SUITE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192002",
            "telephone_number": "212-744-1200",
            "fax_number": "212-265-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREENWICH OFFICE PARK STE 210",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315155",
            "telephone_number": "032-863-0003",
            "fax_number": "212-265-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPUN",
        "first_name": "DAVID",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "222157",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "045603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.