Individual provider Active NPI

Daniel Greenberg, D.C.

  • Chiropractor
  • Ventnor City, NJ
National Provider Identifier
1104962562
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC005992 Issued in NJ
Practice address
6750 Ventnor Ave
Commercial #2
Ventnor City, NJ 08406-2153
Phone
(609) 412-3561
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC005992 NJ Primary

Addresses

Primary practice location

6750 Ventnor Ave
Commercial #2
Ventnor City, NJ 08406-2153

Mailing address

6750 Ventnor Ave
Commercial #2
Ventnor City, NJ 08406-2153
Phone (609) 412-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Family Chiropractic PS Chiropractor PastSince Dec 31, 2013 Accepting new patients
Enlightened Solutions LLC Past Accepting new patients
Greenberg Chiropractic LLC Chiropractor PastSince Feb 13, 2009 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1104962562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 VENTNOR AVE",
            "address_2": "COMMERCIAL #2",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062153",
            "telephone_number": "609-412-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 VENTNOR AVE",
            "address_2": "COMMERCIAL #2",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062153",
            "telephone_number": "609-412-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.