Active NPI
Fred D Greenfield, MR
- Pediatric Emergency Medicine (Pediatrics) Physician
- New York, NY
National Provider Identifier
1730148610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 170562
- Practice address
- 3959 Broadway
Columbia University Pediatrics3959
New York, NY 10032-1559 - Phone
- (212) 304-7250
- Fax
- (212) 544-1974
- NPI assigned
- Mar 21, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 170562 | NY | Primary |
Addresses
Primary practice location
3959 Broadway
Columbia University Pediatrics3959
New York, NY 10032-1559
Mailing address
14 Power Horn Dr
Suffern, NY 10901
Phone (845) 362-0564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01379395 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170562 | NY | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730148610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 POWER HORN DR",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901",
"telephone_number": "845-362-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 BROADWAY",
"address_2": "COLUMBIA UNIVERSITY PEDIATRICS3959",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100321559",
"telephone_number": "212-304-7250",
"fax_number": "212-544-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "FRED",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NY",
"license": "170562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01379395",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.