A Joseph Greenberg DPM Inc PS

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P000000439 Issued in WA

Legal business name

A JOSEPH GREENBERG DPM INC PS

Practice address

7301 45TH Ave NE
Seattle, WA 98115-6103

Phone

(206) 522-6640

Fax

(206) 527-0147

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Joseph Greenberg, DPMNPI 1952321127

Title

Owner

Phone

(206) 522-6640

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abraham Joseph Greenberg, DPM

  • Podiatrist
  • Seattle, WA
  • NPI 1952321127

  WA

  Medicare reassignment Authorized official
• Rockwell G Moulton, DPM

  • Podiatrist
  • Seattle, WA
  • NPI 1033202593
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1730457631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15964",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981150964",
            "telephone_number": "206-522-6640",
            "fax_number": "206-527-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 45TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156103",
            "telephone_number": "206-522-6640",
            "fax_number": "206-527-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A JOSEPH GREENBERG DPM INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-522-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "P000000439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056126",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Seattle, WA
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.