Active NPI
Greenberg Medical Services PC
- Dermatology Physician
- Woodbury, NY
National Provider Identifier
1689181562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- GREENBERG MEDICAL SERVICES PC
- Practice address
- 160 Crossways Park Dr
Woodbury, NY 11797-2028 - Phone
- (516) 364-4200
- NPI assigned
- Jan 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Greenberg, MD
- Title
- Owner
- Phone
- (516) 364-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
160 Crossways Park Dr
Woodbury, NY 11797-2028
Mailing address
160 Crossways Park Dr
Woodbury, NY 11797-2028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180226001160 | NY | Part B Supplier - Clinic/Group Practice | 3971864489 |
Receives reassigned benefits from 5 practitioners Practice locations: New York, NY; Smithtown, NY; Southampton, NY; Woodbury, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2198228 | Greenberg Medical Services PC | Compliance | Dec 1, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514851200000",
"number": "1689181562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 CROSSWAYS PARK DR",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 CROSSWAYS PARK DR",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972028",
"telephone_number": "516-364-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENBERG MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-02",
"last_updated": "2018-01-02",
"status": "A",
"authorized_official_last_name": "GREENBERG",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-364-4200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.