Active NPI
Lawrence Joel Greenberg, MD
- Ophthalmology Physician
- Needham, MA
National Provider Identifier
1396707022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 33515
- Practice address
- 400 Hillside Ave
Needham, MA 02494-1263 - Phone
- (781) 444-6610
- NPI assigned
- Apr 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 33515 | MA | Primary |
Addresses
Primary practice location
400 Hillside Ave
Needham, MA 02494-1263
Mailing address
63 Gould Rd
Waban, MA 02468-2142
Phone (781) 444-6610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2033828 | Medicaid | MA |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396707022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 GOULD RD",
"city": "WABAN",
"state": "MA",
"postal_code": "024682142",
"telephone_number": "781-444-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HILLSIDE AVE",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941263",
"telephone_number": "781-444-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "LAWRENCE",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "33515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2033828",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.