GREENRIDGE INC. – NPI #1376664219
Clinic/Center

GREENRIDGE INC. is an AHC clinic located in WHITE PLAINS, NY. NPPES has assigned the NPI number 1376664219 to GREENRIDGE INC. on April 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREENRIDGE INC. below.

NPI Profile for
GREENRIDGE INC.

NPI Number
1376664219
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREENRIDGE INC.
Primary location
12 GREENRIDGE AVE
WHITE PLAINS, NY 10605-1238
Phone: (914) 428-4700 Fax: (914) 428-6971
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MORDCAI BLAU
PLASTIC SURGEON
Phone: (914) 427-4700
Updated
Identifiers

Identifiers for GREENRIDGE INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00478226
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
NY 135936-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.