Stephen Todd Greenberg, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

1809161 Issued in NY

Practice address

195 Froehlich Farm Blvd
Woodbury, NY 11797

Phone

(516) 364-4200

Fax

(516) 364-6562

NPI assigned

Dec 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenberg Medical Services PC

  • Dermatology Physician
  • Woodbury, NY
  • NPI 1689181562
  Authorized official Same address or phone
• Stephen T. Greenberg MD PC

  • Plastic and Reconstructive Surgery Physician
  • Woodbury, NY
  • NPI 1821484999
  Authorized official Same address or phone
• Stephen T. Greenberg, M.D. P.C.

  • Plastic Surgery Physician
  • Woodburg, NY
  • NPI 1316206063
  NPD (past) Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619032240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "516-364-4200",
            "fax_number": "516-364-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "516-364-4200",
            "fax_number": "516-364-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "STEPHEN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "1809161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0101502",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Goodman, MD
• Stephanie Nicole Gordin, AGNP
• Lee Farrell Green, M.S.ED
• Greenberg Medical Services PC
• Garred Samuel Greenberg, MD
• Greenhaus Physical Therapy PC
• Anita Greenhaus
• Amy Grossman
• David Seth Grossman, M.D.
• Robert B Grossman, MD

• Plastic and Reconstructive Surgery Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Plastic and Reconstructive Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.