Active NPI
Henry M Greenberg, M.D.
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1639162555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 101067
- Practice address
- 425 W 59TH St
9TH Floor
New York, NY 10019-1104 - Phone
- (212) 492-5550
- Fax
- (212) 492-5555
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 101067 | NY | Primary |
Addresses
Primary practice location
425 W 59TH St
9TH Floor
New York, NY 10019-1104
Mailing address
PO Box 95000-4145
Philadelphia, PA 19195-0001
Phone (212) 315-0144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00173780 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slrhc Faculty Practice | Past | Accepting new patients | |
| St Lukes Roosevelt Community Care | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba St. Luke's Medical Group
- Internal Medicine Physician
- New York, NY
- NPI 1942524178
-
- Internal Medicine Physician
- New York, NY
- NPI 1740469246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1639162555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-4145",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191950001",
"telephone_number": "212-315-0144",
"fax_number": "212-315-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 W 59TH ST",
"address_2": "9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191104",
"telephone_number": "212-492-5550",
"fax_number": "212-492-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "HENRY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "101067",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00173780",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.