Individual provider Active NPI

Jeffrey S. Greenwald, M.D.

  • Dermatology Physician
  • Mount Dora, FL
National Provider Identifier
1679532923
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME36222 Issued in FL
Practice address
2850 Morningside Dr
Mount Dora, FL 32757-6610
Phone
(352) 383-0733
Fax
(352) 383-7112
NPI assigned
Mar 23, 2006
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME36222 FL Primary

Addresses

Primary practice location

2850 Morningside Dr
Mount Dora, FL 32757-6610

Mailing address

2850 Morningside Dr
Mount Dora, FL 32757-6610
Phone (352) 383-0733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000760 FL Practitioner - DermatologyPractitioner - Internal Medicine 8527090836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Geisel School of Medicine at Dartmouth, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group PAGroup PAC ID 4385676782, 11 clinicians

Practice addresses (Care Compare)

2850 Morningside Dr
Mount Dora, FL 32757-6610
Phone (352) 383-0733

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group PA Specialist CurrentSince Mar 4, 1980 Accepting new patients
Jewett Orthopaedic Clinic LLC Past Accepting new patients

Locations

515 W State Road 434
Ste 210
Longwood, FL 32750
Phone (407) 332-8080

2850 Morningside Dr
Mount Dora, FL 32757
Phone (352) 383-0733

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1679532923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MORNINGSIDE DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576610",
            "telephone_number": "352-383-0733",
            "fax_number": "352-383-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MORNINGSIDE DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576610",
            "telephone_number": "352-383-0733",
            "fax_number": "352-383-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME36222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.