Judyth Ellen Greenbaum, M.S.

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

1111 Montauk Hwy
Suite 204
West Islip, NY 11795-4910

Phone

(631) 376-4242

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801811070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAMB PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466723",
            "telephone_number": "631-667-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MONTAUK HWY",
            "address_2": "SUITE 204",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954910",
            "telephone_number": "631-376-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "JUDYTH",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Victoria Gorecki
• Anna Gorski-Piaszczyk, MD
• Samuel Gorstein, M.D.
• Great South Bay Surgical Associates and Vascular Lab, LLP
• Anne Elizabeth Green, MD
• Stuart Neil Greenberg, M.D.
• Bonnie Jean Greene, RPA-C
• Kerri Greenrose, FNP-C
• Gregory Reinhardt, PT PC
• Ciro Thomas Grello, MD

• Genetic Counselor (M.S.) in West Islip, NY
• Providers in West Islip, NY by specialty
• Genetic Counselor (M.S.) in New York

• 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.

Verify at the official NPI Registry.