Active NPI
Jordan Louis Greene, D.C.
- Chiropractor
- South Plainfield, NJ
National Provider Identifier
1659314581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00414700
- Practice address
- 2202 Park Ave
South Plainfield, NJ 07080-5403 - Phone
- (908) 757-0377
- Fax
- (908) 757-6484
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00414700 | NJ | Primary |
Addresses
Primary practice location
2202 Park Ave
South Plainfield, NJ 07080-5403
Mailing address
2202 Park Ave
South Plainfield, NJ 07080-5403
Phone (908) 757-0377
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00414700 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1659314581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805403",
"telephone_number": "908-757-0377",
"fax_number": "908-757-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805403",
"telephone_number": "908-757-0377",
"fax_number": "908-757-6484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "JORDAN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00414700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.