Active NPI
Gary S Greenberg DMD
- Customized Equipment (DME)
- Syracuse, NY
National Provider Identifier
1972869683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 033643
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.