Andrew Greenberg MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME100693 Issued in FL

Legal business name

ANDREW GREENBERG MD PA

Practice address

4617 El Mar Dr
Lauderdale by the Sea, FL 33308-3635

Phone

(631) 827-7415

Fax

(954) 771-2955

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Andrew Greenberg, MDNPI 1093745945

Title

President

Phone

(631) 827-7415

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Steven Greenberg, M.D.

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1093745945
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1679880561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 EL MAR DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333083635",
            "telephone_number": "631-827-7415",
            "fax_number": "954-771-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 EL MAR DR",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333083635",
            "telephone_number": "631-827-7415",
            "fax_number": "954-771-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW GREENBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-827-7415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MED LIC",
            "identifier": "ME100693",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPI 1598696601
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• Saundra W Alexander
• Arguello Dentistry by the Sea
• Catherine Marie Arias
• Sharon Baird, AP
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• Internal Medicine Physician in Lauderdale by the Sea, FL
• Providers in Lauderdale by the Sea, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.