Greenridge Urology P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

205415 Issued in NY

Legal business name

GREENRIDGE UROLOGY P.C.

Practice address

12 Greenridge Ave
Suite 401
White Plains, NY 10605-1238

Phone

(914) 948-3128

Fax

(914) 948-6809

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Matthew Laurence Lemer, M.D.NPI 1598717589

Title

Physician

Phone

(914) 948-3128

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Laurence Lemer, M.D.

  • Specialist
  • White Plains, NY
  • NPI 1598717589
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1831362698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "SUITE 401",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-948-3128",
            "fax_number": "914-948-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "SUITE 401",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-948-3128",
            "fax_number": "914-948-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENRIDGE UROLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "LEMER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-948-3128",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "205415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenburgh Health Center
• Greenburgh Health Center
• Kimberly Heather Greene-Liebowitz, MD
• Sean Greene
• Greenridge Inc.
• Sasha Greenspan
• Caren Eve Greenstein, M.D.
• Fayrisa Ilana Greenwald, M.D.
• Joshua A. Greenwald, M.D.
• Kimberley Elizabeth Gregg, MSED

• Specialist in White Plains, NY
• Providers in White Plains, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.