MARVIN H GREENBAUM M.D. NPI 1073620472

NPI Information

  • NPI: 1073620472
  • Provider Name: MARVIN H GREENBAUM, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 BELMONT AVE
    BALA CYNWYD, PA
    ZIP 19004
  • Phone: (610) 667-4066

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NPI Details

Marvin H Greenbaum, M.D. is an ophthalmology in Bala Cynwyd, PA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Marvin H Greenbaum, M.D. NPI is 1073620472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 BELMONT AVE
BALA CYNWYD, PA
ZIP 19004-302
Phone: (610) 667-4066
Fax: (610) 667-7955

The NPI 1073620472 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 9/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyMD026860EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1180038454OTHERPENNSYLVANIARAILROAD MEDICARE
2426804OTHERPENNSYLVANIABLUE SHIELD
3C33918MEDICARE UPINPENNSYLVANIA
4426804NM9MEDICARE PINPENNSYLVANIA
50045485000OTHERPENNSYLVANIAPERSONAL CHOICE
62156912OTHERPENNSYLVANIAAETNA
70045485000OTHERPENNSYLVANIAKEYSTONE
8AMERIHEALTHOTHERPENNSYLVANIA0045485000
9032582MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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