DR. LOGAN BENJAMIN GREENBLATT MD
NPI 1447839923
Pediatrics in Providence, RI

Q: What is Logan Greenblatt's NPI number?

The NPI number for Logan Greenblatt is 1447839923. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Q: What is Logan Greenblatt's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Greenblatt was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2021PECOS Enrolled

111 PLAIN STREET 3RD FLOOR SUITE 101, PROVIDENCE, RI 02902(401) 444-5504 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Jun 7, 2024, Apr 3, 2021 (3 updates tracked since 2021).

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About Dr. Logan Benjamin Greenblatt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOGAN BENJAMIN GREENBLATT MD (NPI 1447839923) is an individual pediatrics provider in Providence, Rhode Island, licensed in New York (330544) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1447839923

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. LOGAN BENJAMIN GREENBLATTCredential: MD

Location Address111 PLAIN STREET 3RD FLOOR SUITE 101Providence, RI 02902-3436

Mailing Address372 Central Park W Apt 18rNew York, NY 10025-8212

Phone(401) 444-5504

Sole ProprietorYes

Enumeration DateApril 3, 2021

Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1447839923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 330544

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X · License LP06489 (RI)

111 PLAIN STREET 3RD FLOOR SUITE 101, Providence, RI 02902

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Secondary Practice Location 1

Location 1475 Seaview AveStaten Island, NY 10305-3436 · Phone (718) 226-9000 ext. 9350

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Logan Benjamin Greenblatt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN DAVID TATUM

Pediatrics (Pediatric Endocrinology)

111 PLAIN STREET 3RD FLOOR SUITE 101
PROVIDENCE, RI 02902

Providence County (401) 444-5504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Greenblatt's NPI number?

The NPI number for Logan Greenblatt is 1447839923. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Logan Greenblatt located?

Logan Greenblatt practices at 111 Plain Street 3rd Floor Suite 101, Providence, RI 02902. The listed phone number is (401) 444-5504.

What is Logan Greenblatt's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Logan Greenblatt enrolled in Medicare?

Yes. Logan Greenblatt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Logan Greenblatt was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.