Greenridge Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

135936-1 Issued in NY

Legal business name

GREENRIDGE INC.

Practice address

12 Greenridge Ave
White Plains, NY 10605-1238

Phone

(914) 428-4700

Fax

(914) 428-6971

NPI assigned

Apr 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mordcai Blau, M.D, P.CNPI 1457417776

Title

Plastic Surgeon

Phone

(914) 427-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mordcai Blau, M.D., P.C.

  • Ambulatory Surgical Clinic/Center
  • White Plains, NY
  • NPI 1457417776
  Authorized official Same address or phone

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376664219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-428-4700",
            "fax_number": "914-428-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-428-4700",
            "fax_number": "914-428-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENRIDGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLAU",
        "authorized_official_first_name": "MORDCAI",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "914-427-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, P.C"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "135936-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00478226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenburgh Health Center
• Greenburgh Health Center
• Greenburgh Health Center
• Kimberly Heather Greene-Liebowitz, MD
• Sean Greene
• Greenridge Urology P.C.
• Sasha Greenspan
• Caren Eve Greenstein, M.D.
• Fayrisa Ilana Greenwald, M.D.
• Joshua A. Greenwald, M.D.

• Ambulatory Surgical Clinic/Center in White Plains, NY
• Providers in White Plains, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.