Organization Active NPI

Alex M. Greenberg, DDS PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • New York, NY
National Provider Identifier
1689837130
Registry record updated Jul 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
037545 Issued in NY
Legal business name
ALEX M. GREENBERG, DDS PC
Practice address
18 E 48TH St
Suite 1702
New York, NY 10017-1014
Phone
(212) 319-9700
Fax
(212) 319-9778
NPI assigned
Jul 4, 2008
Last updated
Jul 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2008

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

Authorized official

Name
Dr. Alex Michael Greenberg, D.D.S.NPI 1811052285
Title
President
Phone
(212) 319-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 037545 NY Primary

Addresses

Primary practice location

18 E 48TH St
Suite 1702
New York, NY 10017-1014

Mailing address

18 E 48TH St
Suite 1702
New York, NY 10017-1014
Phone (212) 319-9700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080723000178 NY Part B Supplier - Clinic/Group Practice 8325111404 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

18 E 48th St
Rm 1702
New York, NY 10017
Phone (212) 319-9700

Practitioners & affiliated clinicians

Practitioners 2

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": "1215129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215129600000",
    "number": "1689837130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 48TH ST",
            "address_2": "SUITE 1702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171014",
            "telephone_number": "212-319-9700",
            "fax_number": "212-319-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 48TH ST",
            "address_2": "SUITE 1702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171014",
            "telephone_number": "212-319-9700",
            "fax_number": "212-319-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX M. GREENBERG, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-04",
        "last_updated": "2008-07-04",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-319-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "037545",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 4, 2008; 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.