Individual provider Active NPI

Alan Howard Greenspan, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1518913672
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
146086 Issued in NY
Practice address
39 Broadway
Suite 3005
New York, NY 10006-3003
Phone
(212) 509-5200
Fax
(212) 425-0235
NPI assigned
May 26, 2006
Last updated
Oct 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 146086 NY
Dermatology Physician 207N00000X 146086 NY Primary

Addresses

Primary practice location

39 Broadway
Suite 3005
New York, NY 10006-3003

Mailing address

39 Broadway
Suite 3005
New York, NY 10006-3003
Phone (212) 509-5200

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
I20060621000347 NY Practitioner - Dermatology 8325050057 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 Broadway
RM 3005
New York, NY 10006-3062
Phone (212) 509-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions432
Skin biopsy1008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146086NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology of Lower Manhattan, P.L.L.C. Procedural Dermatology CurrentSince Jul 3, 2006 Accepting new patients
Upper West Side Dermatology, P.C. Dermatology Past Accepting new patients

Locations

39 Broadway
Rm 3005
New York, NY 10006
Phone (212) 509-5200

Interoperability endpoints

  • Direct secure messaging: agreenspan@lm.encitedirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1518913672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BROADWAY",
            "address_2": "SUITE 3005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100063003",
            "telephone_number": "212-509-5200",
            "fax_number": "212-425-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BROADWAY",
            "address_2": "SUITE 3005",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100063003",
            "telephone_number": "212-509-5200",
            "fax_number": "212-425-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "ALAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "146086",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "146086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.