Individual provider Active NPI

James Scott Greenspan, MD

  • Neurological Surgery Physician
  • Glens Falls, NY
National Provider Identifier
1366432734
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
206252 Issued in NY
Practice address
454 Glen St
Albany Med Faculty Physicians Neurosurgery
Glens Falls, NY 12801-2974
Phone
(518) 264-0880
Fax
(518) 264-0885
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 206252 NY Primary

Addresses

Primary practice location

454 Glen St
Albany Med Faculty Physicians Neurosurgery
Glens Falls, NY 12801-2974

Mailing address

454 Glen St
Albany Med Faculty Physicians Neurosurgery
Glens Falls, NY 12801-2974
Phone (518) 264-0880

Other identifiers 2

IdentifierTypeStateIssuer
01735771MedicaidNY
P00894383OtherNYRR MEDICARE

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
I20060320000533 NY Practitioner - Neurosurgery 8325067747 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206252NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Neurological Surgery CurrentSince May 1, 2013 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince May 1, 2013 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
North Country Neurosurgical Associates PC Past Accepting new patients
Glens Falls Hospital Inc Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

1134 State Route 29
Greenwich, NY 12834
Phone (518) 692-9861

377 Church St
Saratoga Springs, NY 12866
Phone (518) 203-2582

Organizations & group practices 8

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1366432734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 GLEN ST",
            "address_2": "ALBANY MED FACULTY PHYSICIANS NEUROSURGERY",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012974",
            "telephone_number": "518-264-0880",
            "fax_number": "518-264-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 GLEN ST",
            "address_2": "ALBANY MED FACULTY PHYSICIANS NEUROSURGERY",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012974",
            "telephone_number": "518-264-0880",
            "fax_number": "518-264-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "206252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01735771",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00894383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.