Organization Active NPI

Greenehouse Surgicare. PC

  • Graphics Designer
  • Brooklyn, NY
National Provider Identifier
1568764249
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Graphics DesignerTaxonomy code 1744G0900X
License
177953 Issued in NY
Legal business name
GREENEHOUSE SURGICARE. PC
Practice address
55 Greene Ave Ste Lla
Brooklyn, NY 11238-6432
Phone
(718) 433-0044
Fax
(178) 433-4644
NPI assigned
Dec 1, 2010
Organization subpart
Yes
Parent organization
OMNICARE ANESTHESIA,PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Dr. Evans Crevecoeur
Title
Ceo/Physicians
Phone
(718) 433-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Graphics DesignerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1744G0900X 177953 NY Primary

Addresses

Primary practice location

55 Greene Ave Ste Lla
Brooklyn, NY 11238-6432

Mailing address

P.O.Box 30037
Elmont, NY 11003-0037
Phone (718) 433-0044

National Provider Directory

National Provider Directory
Part of
Omnicare Anesthesia

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1568764249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 30037",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110030037",
            "telephone_number": "718-433-0044",
            "fax_number": "718-433-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 GREENE AVE STE LLA",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386432",
            "telephone_number": "718-433-0044",
            "fax_number": "178-433-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEHOUSE SURGICARE. PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMNICARE ANESTHESIA,PC",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "CREVECOEUR",
        "authorized_official_first_name": "EVANS",
        "authorized_official_title_or_position": "CEO/PHYSICIANS",
        "authorized_official_telephone_number": "718-433-0044",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1744G0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Graphics Designer",
            "state": "NY",
            "license": "177953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.