Adrienne Masin Greenblatt, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA04933000 Issued in NJ

Practice address

699 Teaneck Road
Teaneck, NJ 07666-4244

Phone

(201) 836-2500

Fax

(201) 836-7921

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Imaging of Teaneck Inc.

  • Mobile Radiology Clinic/Center
  • Teaneck, NJ
  • NPI 1164466926
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1215097886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579A CRANBURY ROAD",
            "address_2": "UNIVERSITY RADIOLOGY GROUP, PC",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163360",
            "telephone_number": "732-390-0040",
            "fax_number": "732-390-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664244",
            "telephone_number": "201-836-2500",
            "fax_number": "201-836-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "ADRIENNE",
        "middle_name": "MASIN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA04933000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014095",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Anthony Gratale, D.C.
• Chevon Lenique Gray, RN
• Debbie Green, PH.D.
• Shoshana Green, MS DPT
• Susan Greenbaum
• Greenfield Services Incorporated
• Chaya Greenspan, MS OTRL
• Stephanie Pamela Greenspan, M.S., R.D.
• Steven Greenstein, MD
• Rochel Greer

• Diagnostic Radiology Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.