Organization Active NPI

Jonathan Greenberg MD

  • Neurological Surgery Physician
  • Orlando, FL
National Provider Identifier
1063605871
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME50725 Issued in FL
Legal business name
JONATHAN GREENBERG MD
Practice address
1517 E Robinson St
Orlando, FL 32801-2121
Phone
(407) 648-9500
Fax
(407) 648-5558
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan Greenberg, M.D.
Title
Owner
Phone
(407) 648-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME50725 FL Primary

Addresses

Primary practice location

1517 E Robinson St
Orlando, FL 32801-2121

Mailing address

1517 E Robinson St
Orlando, FL 32801-2121
Phone (407) 648-9500

Other identifiers 1

IdentifierTypeStateIssuer
047355300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1063605871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012121",
            "telephone_number": "407-648-9500",
            "fax_number": "407-648-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012121",
            "telephone_number": "407-648-9500",
            "fax_number": "407-648-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN GREENBERG MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-648-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME50725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047355300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.