Individual provider Active NPI

Henry A. Greenblatt, M.D.

  • Dermatology Physician
  • Newburgh, NY
National Provider Identifier
1619963899
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
161043 Issued in NY
Practice address
400 Gidney Ave
Newburgh, NY 12550-3701
Phone
(845) 561-1565
Fax
(845) 561-1578
NPI assigned
Sep 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 161043 NY Primary

Addresses

Primary practice location

400 Gidney Ave
Newburgh, NY 12550-3701

Mailing address

400 Gidney Ave
Newburgh, NY 12550-3701
Phone (845) 561-1565

Other identifiers 2

IdentifierTypeStateIssuer
900361OtherNYMVP INSURANCE
01223005MedicaidNY

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
I20080307000358 NY Practitioner - Dermatology 1153406640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Medical Group PCGroup PAC ID 6103715529, 78 clinicians

Practice addresses (Care Compare)

1460 State Route 17M
Chester, NY 10918-1054
Phone (845) 651-1400

21 Edward J Lempka Dr
Family Practice
Florida, NY 10921-0001
Phone (845) 651-1777

70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 561-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1337
Removal or shaving of skin growth1-10
Skin biopsy273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161043NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. CurrentSince Jul 1, 2014 Accepting new patients
Horizon Medical Group, P.C. CurrentSince Jul 1, 2014 Accepting new patients

Locations

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

2 Coates Dr
Goshen, NY 10924
Phone (845) 651-1400

Networks

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

Interoperability endpoints

  • Direct secure messaging: greenblatth@hfmg.emadirect.md
  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA

Organizations & group practices 3

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 1

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619963899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503701",
            "telephone_number": "845-561-1565",
            "fax_number": "845-561-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503701",
            "telephone_number": "845-561-1565",
            "fax_number": "845-561-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "HENRY",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "161043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP INSURANCE",
            "identifier": "900361",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01223005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.