NPIMap

Organization Active NPI

Greenwich Geriatrics, LLC

Doing business as greenwichgeriatrics.com

  • Geriatric Medicine (Internal Medicine) Physician
  • Greenwich, CT
National Provider Identifier
1790122356
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
51215 Issued in CT
Legal business name
GREENWICH GERIATRICS, LLC
Doing business as
greenwichgeriatrics.com
Practice address
38 Lake Ave
Greenwich, CT 06830-4515
Phone
(203) 413-3262
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Dr. Steven Buslovich, M.D.
Title
Founder, Ceo
Phone
(203) 413-3262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 51215 CT Primary

Addresses

Primary practice location

38 Lake Ave
Greenwich, CT 06830-4515

Mailing address

38 Lake Ave
Greenwich, CT 06830-4515
Phone (203) 413-3262

Other names 1

  • greenwichgeriatrics.com Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1790122356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LAKE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304515",
            "telephone_number": "203-413-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LAKE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304515",
            "telephone_number": "203-413-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH GERIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "BUSLOVICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "FOUNDER, CEO",
        "authorized_official_telephone_number": "203-413-3262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "51215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "greenwichgeriatrics.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.