Active NPI
Bram Greenberg, M.D.
- Pediatrics Physician
- Lakewood, NJ
National Provider Identifier
1124285788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA08647000
- Practice address
- 555 Hope Chapel Rd
Lakewood, NJ 08701-1517 - Phone
- (610) 291-2595
- NPI assigned
- May 21, 2008
- Last updated
- Dec 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD027273E | PA | |
| Pediatrics Physician | 208000000X | 25MA08647000 | NJ | Primary |
Addresses
Primary practice location
555 Hope Chapel Rd
Lakewood, NJ 08701-1517
Mailing address
555 Hope Chapel Rd
Lakewood, NJ 08701-1517
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08647000 | NJ | MD | Pediatrics Physician |
| MD027273E | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1124285788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 HOPE CHAPEL RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 HOPE CHAPEL RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011517",
"telephone_number": "610-291-2595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "BRAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD027273E",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA08647000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.