Devon Shelby Greenbaum, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006381 Issued in NY

Practice address

435 Central Park W Apt 1E
New York, NY 10025-4338

Phone

(201) 421-4991

NPI assigned

Sep 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Devon Greenbaum Acupuncture

  • Acupuncturist
  • New York, NY
  • NPI 1265137012
  NPD Authorized official
• Devon Greenbaum Acupuncture

  • Acupuncturist
  • New York, NY
  • NPI 1942905567
  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1477037760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CENTRAL PARK W APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254338",
            "telephone_number": "914-960-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CENTRAL PARK W APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254338",
            "telephone_number": "201-421-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "DEVON",
        "middle_name": "SHELBY",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaakov Samuel Green, MD
• Yvonne A. Green, RN
• David Eastman Greenan, EDD
• Aliza T. Greenbaum, OTR/L
• Claire Greenbaum
• Evie Greenbaum
• Greenbaum, MD - Wagner, MD
• Nicole Greenbaum
• Rachel Allie Greenbaum, PA: NCCPA ID 1208210
• Rosalie Greenbaum, PH.D.

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.