Organization Active NPI

Gary S Greenberg DMD

  • Customized Equipment (DME)
  • Syracuse, NY
National Provider Identifier
1972869683
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
033643 Issued in NY
Legal business name
GARY S GREENBERG DMD
Practice address
109 S Warren St
Suite 1700
Syracuse, NY 13202-1798
Phone
(315) 422-1788
Fax
(315) 422-1788
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Gary S Greenberg, DMD
Title
Owner
Phone
(315) 422-1788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 033643 NY Primary

Addresses

Primary practice location

109 S Warren St
Suite 1700
Syracuse, NY 13202-1798

Mailing address

109 S Warren St
Suite 1700
Syracuse, NY 13202-1798
Phone (315) 422-1788

National Provider Directory

National Provider Directory

Locations

109 S Warren St
Ste 1700
Syracuse, NY 13202
Phone (315) 422-1788

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1972869683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S WARREN ST",
            "address_2": "SUITE 1700",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021798",
            "telephone_number": "315-422-1788",
            "fax_number": "315-422-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S WARREN ST",
            "address_2": "SUITE 1700",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021798",
            "telephone_number": "315-422-1788",
            "fax_number": "315-422-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S GREENBERG DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-422-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "033643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.