Gwen Stephanie Greenberg, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC001792L Issued in PA

Practice address

1255 S Cedar Crest Blvd
Suite 2900
Allentown, PA 18103-6256

Phone

(610) 437-3939

Fax

(484) 244-2862

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

Yes

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

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.

• Gwen S. Greenberg, DPM

  • Durable Medical Equipment & Medical Supplies
  • Allentown, PA
  • NPI 1194999383
  NPD (past) Authorized official
• Medical Imaging of Lehigh Valley PC

  • Diagnostic Radiology Physician
  • Allentown, PA
  • NPI 1134178023
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1295704278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N CEDAR CREST BLVD",
            "address_2": "SUITE 115",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042308",
            "telephone_number": "610-437-3939",
            "fax_number": "484-244-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD",
            "address_2": "SUITE 2900",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036256",
            "telephone_number": "610-437-3939",
            "fax_number": "484-244-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "GWEN",
        "middle_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC001792L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000504203",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Green, RDH
• Robert Asa Green, RPH
• Tamika Green, CNA
• David Lawrence Greenberg, MD
• Gary M Greenberg, D.M.D.
• Marna Greenberg, DO
• Cara Greene, CRNP
• Meagan Llewelyn Grega, M.D.
• Gregory Singer,M.D. PC
• Stephanie Gregory, CRNP

• Foot & Ankle Surgery Podiatrist in Allentown, PA
• Providers in Allentown, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.