Organization Active NPI

Greenstein Neurology Associates, P.C.

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1699763144
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD-029200-E Issued in PA
Legal business name
GREENSTEIN NEUROLOGY ASSOCIATES, P.C.
Practice address
1341 N Delaware Ave
Suite 212
Philadelphia, PA 19125-4300
Phone
(267) 597-3830
Fax
(267) 597-3831
NPI assigned
Oct 10, 2005
Last updated
Feb 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Jeffrey I. Greenstein, MDNPI 1790991164
Title
President & Ceo
Phone
(267) 597-3830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD-029200-E PA Primary

Addresses

Primary practice location

1341 N Delaware Ave
Suite 212
Philadelphia, PA 19125-4300

Mailing address

1341 N Delaware Ave
Suite 212
Philadelphia, PA 19125-4300
Phone (267) 597-3830

Other identifiers 7

IdentifierTypeStateIssuer
1372513OtherPABLUE SHIELD PROV#
3Y2775-3556OtherPAELDERHEALTH & HEALTHNET
102626585 0001MedicaidPA
953670OtherPAPERSONAL CHOICE PROV#
P2669071OtherPAOXFORD PROVIDER #
2066290000OtherPAKHPE PROVIDER#
7350303OtherPAAETNA PROVIDER GROUP #

National Provider Directory

National Provider Directory

Locations

1740 South St
Ste 401
Philadelphia, PA 19146
Phone (215) 468-7220

1341 N Delaware Ave
Ste 212
Philadelphia, PA 19125
Phone (267) 597-3830

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1699763144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 N DELAWARE AVE",
            "address_2": "SUITE 212",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254300",
            "telephone_number": "267-597-3830",
            "fax_number": "267-597-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 N DELAWARE AVE",
            "address_2": "SUITE 212",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254300",
            "telephone_number": "267-597-3830",
            "fax_number": "267-597-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSTEIN NEUROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "267-597-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-029200-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV#",
            "identifier": "1372513",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERHEALTH & HEALTHNET",
            "identifier": "3Y2775-3556",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102626585 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE PROV#",
            "identifier": "953670",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER #",
            "identifier": "P2669071",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE PROVIDER#",
            "identifier": "2066290000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER GROUP  #",
            "identifier": "7350303",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.