Organization Active NPI

Woodmere Medical Associates, P.C.

  • Specialist
  • Woodmere, NY
National Provider Identifier
1689802217
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WOODMERE MEDICAL ASSOCIATES, P.C.
Practice address
15 Irving PL
Woodmere, NY 11598-1229
Phone
(516) 374-6750
Fax
(516) 374-6758
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Steven Earl Greenstein, M.D.NPI 1619046380
Title
President
Phone
(516) 374-6750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

15 Irving PL
Woodmere, NY 11598-1229

Mailing address

15 Irving PL
Woodmere, NY 11598-1229
Phone (516) 374-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100308000311 NY Part B Supplier - Clinic/Group Practice 3577608173 Receives reassigned benefits from 1 practitioner
Practice locations: Woodmere, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0155533Woodmere Medical Associates15 Irving Place, Woodmere, NY 11598ComplianceJan 16, 2027

National Provider Directory

National Provider Directory

Locations

15 Irving Pl
Woodmere, NY 11598
Phone (516) 374-6750

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1689802217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981229",
            "telephone_number": "516-374-6750",
            "fax_number": "516-374-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 IRVING PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981229",
            "telephone_number": "516-374-6750",
            "fax_number": "516-374-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMERE MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-374-6750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.

Verify at the official NPI Registry.