Bruce W Greenberg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

178873 Issued in NY

Practice address

1554 Dutch Broadway
Elmont, NY 11003-4522

Phone

(516) 825-7252

Fax

(516) 825-4753

NPI assigned

Jul 14, 2005

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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brucewaynegreenberg@nslijmedgr.allscriptsdirect.net

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1841299633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034522",
            "telephone_number": "516-825-7252",
            "fax_number": "516-825-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034522",
            "telephone_number": "516-825-7252",
            "fax_number": "516-825-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "BRUCE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01247790",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sondra Dee Gray, M.D.
• Robert David Greason, LCSW
• Chenise Greaves
• Simone Green, RN
• Tishawa Green
• Cathyann Greenidge-Ellison, OT
• Stacy-Ann Gregoire
• Taina M Grey, R.N.
• Andrea Sophia Griffith, MS
• Chelsea Michelle Griffith, M.A.

• Internal Medicine Physician in Elmont, NY
• Providers in Elmont, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.