Individual provider Active NPI

Stephen D Greenberg, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1437136710
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
186988-1 Issued in NY
Practice address
519 E 72ND St
Ste. 103
New York, NY 10021-4028
Phone
(212) 288-1575
Fax
(212) 288-7616
NPI assigned
Dec 28, 2005
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 186988-1 NY
Diagnostic Radiology Physician 2085R0202X 186988-1 NY Primary

Addresses

Primary practice location

519 E 72ND St
Ste. 103
New York, NY 10021-4028

Mailing address

519 E 72ND St
Ste. 103
New York, NY 10021-4028
Phone (212) 288-1575

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
I20101207000054 NY Practitioner - Diagnostic Radiology 6507053345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East River Medical Imaging PCGroup PAC ID 4486556719, 11 clinicians

Practice addresses (Care Compare)

519 E 72ND St
Suite 103
New York, NY 10021-4028
Phone (212) 288-7615

Merit-based Incentive Payment System (MIPS)

Final score
65.3 of 100Reported as group
Quality
30.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186988-1NYMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East River Medical Imaging PC CurrentSince Jan 1, 1994 Accepting new patients

Locations

424 E 89th St
New York, NY 10128
Phone (212) 410-5100

430 E 59th St
New York, NY 10022
Phone (212) 288-1575

515 E 72nd St
#103
New York, NY 10021
Phone (212) 288-1575

519 E 72nd St
Ste 103
New York, NY 10021
Phone (212) 288-1575

Networks

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

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1437136710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E 72ND ST",
            "address_2": "STE. 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214028",
            "telephone_number": "212-288-1575",
            "fax_number": "212-288-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E 72ND ST",
            "address_2": "STE. 103",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214028",
            "telephone_number": "212-288-1575",
            "fax_number": "212-288-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "186988-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "186988-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.