Individual provider Active NPI

Susan Greenberg Yarmush, CNM

  • Midwife
  • New York, NY
National Provider Identifier
1396723094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001166
Practice address
227 Madison St
Medical Staff Office, Room 1249
New York, NY 10002-7537
Phone
(212) 238-7680
NPI assigned
Jan 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001166 Primary

Addresses

Primary practice location

227 Madison St
Medical Staff Office, Room 1249
New York, NY 10002-7537

Mailing address

280 Riverside Dr
Apt. GB
New York, NY 10025-9010
Phone (845) 596-9110

Other names 1

  • Susan Lynn Greenberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061115000043 NY Practitioner - Certified Nurse Midwife (CNM) 6608874375 Reassigns benefits to 1 organization
I20180503000514 MA Practitioner - Certified Nurse Midwife (CNM) 6608874375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Programs, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Mar 15, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Mar 15, 2024 Accepting new patients
Community Health Programs, Inc. CurrentSince Nov 1, 2017 Accepting new patients

Locations

780 S Main St
Gt Barrington, MA 01230
Phone (413) 528-1470

111 E 210th St
Bronx, NY 10467

Networks

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

Interoperability endpoints

  • Direct secure messaging: sugreenber@montefioredirect.com

Organizations & group practices 4

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396723094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 RIVERSIDE DR",
            "address_2": "APT. GB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100259010",
            "telephone_number": "845-596-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MADISON ST",
            "address_2": "MEDICAL STAFF OFFICE, ROOM 1249",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027537",
            "telephone_number": "212-238-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG YARMUSH",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": "001166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GREENBERG",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.