Individual provider Active NPI

Alexandra Greenberg, D.O.

  • Gastroenterology Physician
  • Brick, NJ
National Provider Identifier
1063852101
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MB09979100 Issued in NJ
Practice address
525 Jack Martin Blvd Ste 301
Brick, NJ 08724-7737
Phone
(732) 840-0067
Fax
(732) 840-3103
NPI assigned
Jul 3, 2013
Last updated
Dec 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D01784 NV
Gastroenterology Physician 207RG0100X 25MB09979100 NJ Primary

Addresses

Primary practice location

525 Jack Martin Blvd Ste 301
Brick, NJ 08724-7737

Mailing address

525 Jack Martin Blvd Ste 301
Brick, NJ 08724-7737
Phone (732) 840-0067

Other practice location 1

1 Riverview Plz
Red Bank, NJ 07701-1864
Phone (732) 741-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107000195 NJ Practitioner - Gastroenterology 4587942941 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

30 Prospect Ave
Hackensack, NJ 07601-1915

3600 Route 66
FL 3
Neptune, NJ 07753

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 836-4504

525 Jack Martin Blvd
Suite 300
Brick, NJ 08724-7737
Phone (732) 840-0067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy139
Upper gastrointestinal (GI) endoscopy for acid reflux144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
D01784NVMDInternal Medicine Physician
25MB09979100NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Jun 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Internal Medicine Past Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

525 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 785-1166

525 Jack Martin Blvd
Ste 300
Brick, NJ 08724
Phone (732) 840-0067

525 Jack Martin Blvd
Ste 301
Brick, NJ 08724
Phone (732) 840-0067

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

27 S Cooks Bridge Rd
Ste 2-17
Jackson, NJ 08527
Phone (732) 721-7227

1364 Route 72 W
Manahawkin, NJ 08050
Phone (609) 597-3416

1364 Route 72 W
Ste 2
Manahawkin, NJ 08050
Phone (609) 597-3416

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

Interoperability endpoints

  • Direct secure messaging: clinicalservices@coastalgastrodocs.directbygreenway.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1063852101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 JACK MARTIN BLVD STE 301",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247737",
            "telephone_number": "732-840-0067",
            "fax_number": "732-840-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 JACK MARTIN BLVD STE 301",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247737",
            "telephone_number": "732-840-0067",
            "fax_number": "732-840-3103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Riverview Plz",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011864",
            "country_code": "US",
            "telephone_number": "732-741-2700",
            "fax_number": "732-398-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "D01784",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB09979100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.