Joel D Greenberg MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME49333 Issued in FL

Legal business name

JOEL D GREENBERG MD PA

Practice address

4401 S Hopkins Ave
Ste 103
Titusville, FL 32780-6679

Phone

(321) 268-4767

Fax

(321) 267-8765

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Joseph A Asch, MDNPI 1447245410

Title

Owner

Phone

(321) 268-4767

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph A Asch, MD

  • Cardiovascular Disease Physician
  • Titusville, FL
  • NPI 1447245410
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1467572289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 S HOPKINS AVE",
            "address_2": "STE 103",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806679",
            "telephone_number": "321-268-4767",
            "fax_number": "321-267-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S HOPKINS AVE",
            "address_2": "STE 103",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806679",
            "telephone_number": "321-268-4767",
            "fax_number": "321-267-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL D GREENBERG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "ASCH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-268-4767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME49333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045628400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jesseman, PMHNP
• Noemi Isabel Jimenez
• JL Gran Services, Inc
• Jmaxhq LLC
• Joan M McNeela
• Joan Johanesen, MSW, PHD
• John Farah PA
• John M. Andrews, D.M.D., P. a .
• Eric Johns
• Alexander E Johnson

• Cardiovascular Disease Physician in Titusville, FL
• Providers in Titusville, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.