Individual provider Active NPI

Michael J. Greenberg, M.D.

  • Radiation Oncology Physician
  • Cherry Hill, NJ
National Provider Identifier
1548264120
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD 040765 E Issued in PA
Practice address
2090 Springdale Rd Ste B
Cherry Hill, NJ 08003
Phone
(856) 751-9010
Fax
(856) 751-3243
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD-040765-E PA
Therapeutic Radiology Physician 2085R0203X MD 040765 E PA
Radiation Oncology Physician 2085R0001X MD 040765 E PA Primary

Addresses

Primary practice location

2090 Springdale Rd Ste B
Cherry Hill, NJ 08003

Mailing address

PO Box 95000 CL# 4480
Philadelphia, PA 19195-4480
Phone (973) 873-7000

Other practice location 1

181 E Brown St
East Stroudsburg, PA 18301-3004
Phone (570) 476-3488

Other practice location 2

181 E Brown St
East Stroudsburg, PA 18301-3004
Phone (570) 476-3488

Other identifiers 1

IdentifierTypeStateIssuer
001147491MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgreenberg10356@njurology.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080521000036 PA Practitioner - Radiation Oncology 4486723137 Reassigns benefits to 2 organizations
I20190404001496 NJ Practitioner - Radiation Oncology 4486723137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Icahn School of Medicine at Mount Sinai, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

1101 Market St
FL 19
Philadelphia, PA 19107-2926

111 S 11TH St
Philadelphia, PA 19107-4824

834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779

925 Chestnut St
Philadelphia, PA 19107-4204

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-040765-EPAMDSpecialist
MD 040765 EPAMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson University Physicians of New Jersey, P.C. CurrentSince Sep 1, 2021 Accepting new patients
Jefferson University Physicians CurrentSince Sep 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince Mar 1, 2015 Accepting new patients
Geisinger Clinic Current Accepting new patients
New Jersey Urology LLC Radiation Oncology CurrentSince May 13, 2019 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Sep 1, 2021 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Sep 1, 2021 Accepting new patients
Geisinger Clinic CurrentSince Mar 1, 2015 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

2090 Springdale Rd
Ste B
Cherry Hill, NJ 08003
Phone (856) 751-9010

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

565 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 256-0600

900 Medical Center Dr
Ste 100
Sewell, NJ 08080
Phone (856) 582-3006

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012
Phone (856) 513-4124

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

443 Laurel Oak Rd
Ste 130
Voorhees, NJ 08043
Phone (856) 741-0122

100 N Academy Ave
Danville, PA 17822

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

111 S 11th St
Philadelphia, PA 19107
Phone (215) 955-6161

10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610

3941 Commerce Ave
Willow Grove, PA 19090
Phone (215) 481-4000

Interoperability endpoints

  • Direct secure messaging: mgreenberg10356@njurology.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1548264120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000 CL# 4480",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191954480",
            "telephone_number": "973-873-7000",
            "fax_number": "973-873-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SPRINGDALE RD STE B",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-751-9010",
            "fax_number": "856-751-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013004",
            "country_code": "US",
            "telephone_number": "570-476-3488",
            "fax_number": "570-476-3473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013004",
            "country_code": "US",
            "telephone_number": "570-476-3488",
            "fax_number": "570-476-3473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-040765-E",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "PA",
            "license": "MD 040765 E",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD 040765 E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001147491",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgreenberg10356@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "2090 Springdale Rd Ste B",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.