Individual provider Active NPI

Gennifer Joy Greebel, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Purchase, NY
National Provider Identifier
1750566469
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
252918 Issued in NY
Practice address
3020 Westchester Ave Ste 402
Purchase, NY 10577-2561
Phone
(914) 417-6441
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 123456789 NY
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 252918 NY Primary

Addresses

Primary practice location

3020 Westchester Ave Ste 402
Purchase, NY 10577-2561

Mailing address

450 Clarkson Ave
Brooklyn, NY 11203-2056

Other practice location 1

450 Clarkson Ave
Brooklyn, NY 11203-2056
Phone (718) 270-1962

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gjg2114@columbia.cumc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000529 NY Practitioner - OphthalmologyPractitioner - Other (Physician) 5597950626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Lederman and Lederman LLPGroup PAC ID 1456241769, 2 clinicians

Practice addresses (Care Compare)

3020 Westchester Ave
Suite 201
Purchase, NY 10577-2597
Phone (914) 417-6441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
123456789NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Negrin MD PLLC CurrentSince Jun 1, 2017 Accepting new patients

Locations

3020 Westchester Ave
Ste 402
Purchase, NY 10577
Phone (914) 417-6441

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: gjg2114@columbia.cumc.edu

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1750566469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WESTCHESTER AVE STE 402",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772561",
            "telephone_number": "914-417-6441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032056",
            "country_code": "US",
            "telephone_number": "718-270-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEBEL",
        "first_name": "GENNIFER",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "123456789",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NY",
            "license": "252918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gjg2114@columbia.cumc.edu",
            "affiliation": "N",
            "address_1": "3020 Westchester Ave Ste 402",
            "city": "Purchase",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105772561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

Verify at the official NPI Registry.