Active NPI
Vivian N. Greenberg, M.D.
- Gynecology Physician
- Willow Grove, PA
National Provider Identifier
1689667487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 025747-E
- Practice address
- 2701 Blair Mill Rd Ste C
Suite C
Willow Grove, PA 19090-1041 - Phone
- (215) 443-0660
- Fax
- (215) 443-8422
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 025747-E | PA | Primary |
Addresses
Primary practice location
2701 Blair Mill Rd Ste C
Suite C
Willow Grove, PA 19090-1041
Mailing address
2701 Blair Mill Rd
Suite C
Willow Grove, PA 19090-1041
Phone (215) 443-0660
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025747-E | PA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1689667487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 BLAIR MILL RD",
"address_2": "SUITE C",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901041",
"telephone_number": "215-443-0660",
"fax_number": "215-443-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 BLAIR MILL RD STE C",
"address_2": "SUITE C",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901041",
"telephone_number": "215-443-0660",
"fax_number": "215-443-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "VIVIAN",
"middle_name": "N.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PA",
"license": "025747-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.