Organization Active NPI

Keiron Greaves, MD PC

  • Pain Medicine Physician
  • Colts Neck, NJ
National Provider Identifier
1275760175
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
KEIRON GREAVES, MD PC
Practice address
317 Route 34 Ste 323
Colts Neck, NJ 07722-2446
Phone
(732) 918-8312
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Keiron W Greaves, MD
Title
Authorized Official
Phone
(732) 918-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

317 Route 34 Ste 323
Colts Neck, NJ 07722-2446

Mailing address

PO Box 24230
Suite 203
Newark, NJ 07101
Phone (732) 918-8312

National Provider Directory

National Provider Directory

Locations

317 State Route 34
Ste 323
Colts Neck, NJ 07722
Phone (732) 918-8312

320 State Route 34
#323
Colts Neck, NJ 07722
Phone (732) 252-8055

777 Walnut Ave
Ste B
Cranford, NJ 07016
Phone (908) 276-7700

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1275760175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24230",
            "address_2": "SUITE 203",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07101",
            "telephone_number": "732-918-8312",
            "fax_number": "914-591-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 ROUTE 34 STE 323",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077222446",
            "telephone_number": "732-918-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIRON GREAVES, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "GREAVES",
        "authorized_official_first_name": "KEIRON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-918-8312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.