Active NPI
Jacob W Greenberg
- Student in an Organized Health Care Education/Training Program
- New Orleans, LA
National Provider Identifier
1689377244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1415 Tulane Ave
New Orleans, LA 70112-2600 - Phone
- (504) 988-5263
- NPI assigned
- Mar 23, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1415 Tulane Ave
New Orleans, LA 70112-2600
Mailing address
1430 Tulane Ave # 8642
New Orleans, LA 70112-2632
Other practice location 1
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000
Other practice location 2
200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone (504) 899-9511
Other practice location 3
1101 Medical Center Blvd
Marrero, LA 70072-3147
Phone (504) 347-5511
Other practice location 4
4200 Houma Blvd
Metairie, LA 70006-2996
Phone (504) 503-4000
Other practice location 5
2400 Canal St
New Orleans, LA 70119-6535
Phone (800) 935-8387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230710000370 | LA | Order and Referring Only - Urology | 9335508316 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1689377244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TULANE AVE # 8642",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600",
"telephone_number": "504-988-5263"
}
],
"practiceLocations": [
{
"address_1": "2000 Canal St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701123018",
"country_code": "US",
"telephone_number": "504-702-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Henry Clay Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701185798",
"country_code": "US",
"telephone_number": "504-899-9511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Marrero",
"state": "LA",
"postal_code": "700723147",
"country_code": "US",
"telephone_number": "504-347-5511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4200 Houma Blvd",
"address_purpose": "LOCATION",
"city": "Metairie",
"state": "LA",
"postal_code": "700062996",
"country_code": "US",
"telephone_number": "504-503-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Canal St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701196535",
"country_code": "US",
"telephone_number": "800-935-8387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENBERG",
"first_name": "JACOB",
"middle_name": "W",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.