Individual provider Active NPI

Eric B Greenberg, DPM

  • Podiatrist
  • Thorndale, PA
National Provider Identifier
1285666503
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001974L Issued in PA
Practice address
3508 Lincoln Hwy
Thorndale, PA 19372-1005
Phone
(610) 384-5075
Fax
(610) 384-6999
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001974L PA Primary

Addresses

Primary practice location

3508 Lincoln Hwy
Thorndale, PA 19372-1005

Mailing address

3508 Lincoln Hwy
Thorndale, PA 19372-1005
Phone (610) 384-5075

Other identifiers 2

IdentifierTypeStateIssuer
00508089MedicaidPA
5214940001OtherPAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080625000620 PA Practitioner - Podiatry 7810068483 Practice locations: Thorndale, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3508 E Lincoln Hwy
Thorndale, PA 19372-1005

3508 Lincoln Hwy
Thorndale, PA 19372

3508 Lincoln Hwy
Thorndale, PA 19372-1005
Phone (610) 384-5075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue289
Removal or shaving of skin growth79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eric B Greenberg DPM Podiatrist PastSince Feb 20, 1979 Accepting new patients

Organizations & group practices 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1285666503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721005",
            "telephone_number": "610-384-5075",
            "fax_number": "610-384-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721005",
            "telephone_number": "610-384-5075",
            "fax_number": "610-384-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ERIC",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001974L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00508089",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5214940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thorndale, PA

Sources for this page

Verify at the official NPI Registry.