Individual provider Active NPI

Ross Hillard Greenberg, D.O.

  • Geriatric Psychiatry Physician
  • Chester, PA
National Provider Identifier
1720021926
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
OS008152L Issued in PA
Practice address
1 Medical Center Blvd
Department of Psychiatry
Chester, PA 19013-3902
Phone
(610) 874-5257
Fax
(610) 874-7241
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MB59718 NJ
Geriatric Psychiatry Physician 2084P0805X OS008152L PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Department of Psychiatry
Chester, PA 19013-3902

Mailing address

2600 W 9TH St
1St Floor Administration
Chester, PA 19013-2040
Phone (610) 497-7418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB59718NJMDPsychiatry Physician
OS008152LPAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Access Network Past Accepting new patients
Health Access Network Psychiatry Past Accepting new patients

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 and National Provider Directory roles.

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": "1339459200000",
    "number": "1720021926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W 9TH ST",
            "address_2": "1ST FLOOR ADMINISTRATION",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132040",
            "telephone_number": "610-497-7418",
            "fax_number": "610-497-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "DEPARTMENT OF PSYCHIATRY",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-874-5257",
            "fax_number": "610-874-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ROSS",
        "middle_name": "HILLARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MB59718",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "OS008152L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.