Dr. Bernard Greenspan, DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB02154700 Issued in NJ

Legal business name

DR. BERNARD GREENSPAN, DO PA

Practice address

444 Market St
Suite 2a
Saddle Brook, NJ 07663-5996

Phone

(201) 843-7576

Fax

(201) 843-7580

NPI assigned

Mar 2, 2010

Last updated

Jun 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernard Greenspan, D.O.

Title

President/ Physician

Phone

(201) 843-7576

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Bernard Greenspan, PA Other name

Locations

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1972826105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MARKET ST",
            "address_2": "SUITE 2A",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635996",
            "telephone_number": "201-843-7576",
            "fax_number": "201-843-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MARKET ST",
            "address_2": "SUITE 2A",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635996",
            "telephone_number": "201-843-7576",
            "fax_number": "201-843-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BERNARD GREENSPAN, DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT/ PHYSICIAN",
        "authorized_official_telephone_number": "201-843-7576",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02154700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27497000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bernard Greenspan, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.