GARY GREENWALD (NPI# 1942287024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942287024 |
| Entity Type | Individual |
| Full Name | GARY GREENWALD |
| Credential | M.D. |
| Practice Address |
2800 Marcus Ave New Hyde Park NY 11042-1113 |
| Mailing Address |
Po Box 826223 Philadelphia PA 19182-6223 |
| Practice Telephone | 5166226000 |
| Mailing Telephone | 8668987142 |
| Mailing Fax Number | 7702371723 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2015-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 154918-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01008259 | 05 | |
| NY | BLUECROSS BLUESHIELD | 773V41 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478473 | Gary R Greenwald | Dentist | 656 Indian Trail Lilburn Rd Nw, Suite 203, Lilburn, GA 30047-6837 | 2007-02-27 |
| 1093797151 | Gary I Greenwald | Specialist | 42362 Bob Hope Dr, Ste D1, Rancho Mirage, CA 92270-4469 | 2005-11-15 |
| 1427237205 | Gary Greenwald | Dentist | 241 W 23rd St, New York, NY 10011-2320 | 2007-10-30 |
| Street Address |
2800 MARCUS AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285964 | Ashish Goel | Specialist | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2005-06-15 |
| 1619457967 | Kelly Madeline Lynch | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2018-08-16 |
| 1336685155 | Simi Sahibdin | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2017-01-18 |
| 1891151049 | Kimberly Birardi | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2016-01-04 |
| 1356716740 | Jennifer Deede | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2015-12-10 |
| 1194190587 | Rashawn Chin | Physician Assistant | 2800 Marcus Ave, Suite 201, New Hyde Park, NY 11042 | 2015-12-10 |
| 1639544158 | Pamela Pugliesi | Physician Assistant | 2800 Marcus Ave, Suite 201, New Hyde Park, NY 11042-1113 | 2015-12-09 |
| 1134596810 | Dayna Glatzer | Physician Assistant | 2800 Marcus Ave, New Hyde Park, NY 11042-1113 | 2015-08-28 |
| 1376935767 | Ear Works Audiology | Audiologist | 2800 Marcus Ave, Ste. 207, New Hyde Park, NY 11042-1113 | 2015-02-23 |
| 1003219239 | Lisa Vitucci | Social Worker | 2800 Marcus Ave, Suite 205, New Hyde Park, NY 11042-1113 | 2014-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962783357 | Joseph Michael Scofi | Emergency Medicine | 270-06 Lakeville Rd, New Hyde Park, NY 11040 | 2011-08-30 |
| 1407081094 | Anurag Gupta | Emergency Medicine | 1985 Marcus Ave Ste Ll104, New Hyde Park, NY 11042-2008 | 2009-05-26 |
| 1558501882 | Kyle Vanstone | Emergency Medicine | 270-75 76th Avenue, New Hyde Park, NY 11040 | 2009-02-26 |
| 1255519922 | Listy Anam Thomas | Emergency Medicine | 4 Howard Ave, New Hyde Park, NY 11040-3511 | 2008-02-05 |
| 1205013810 | Deven J Unadkat | Emergency Medicine | 270 -05 76th Ave, New Hyde Park, NY 11040 | 2008-01-25 |
| 1073639829 | Dario Gonzalez | Emergency Medicine | Lijmc - Dept of Emergency Medicine, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2007-03-22 |
| 1922137553 | Keith Cardell | Emergency Medicine | Lijmc-emergency Medicine, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2007-03-02 |
| 1487782017 | Diana Crevi | Emergency Medicine | Lijmc-ped. Emergency Medicine, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2007-03-02 |
| 1710020417 | Statmd Physicians, Pllc | Emergency Medicine | 2090 Jericho Tpke, New Hyde Park, NY 11040-4719 | 2007-02-14 |
| 1679644660 | Arlene Silverio | Emergency Medicine | Lijmc-pediatric Emergency Med, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-13 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.