Individual provider Active NPI

Robert Jay Greenberg, O.D.

  • Optometrist
  • Parlin, NJ
National Provider Identifier
1740343573
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00413200 Issued in NJ
Practice address
1040 US Highway 9
Parlin, NJ 08859-1401
Phone
(732) 727-1811
Fax
(732) 727-6399
NPI assigned
Dec 19, 2006
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00413200 NJ Primary

Addresses

Primary practice location

1040 US Highway 9
Parlin, NJ 08859-1401

Mailing address

1040 US Highway 9
Parlin, NJ 08859-1401
Phone (732) 727-1811

Other identifiers 4

IdentifierTypeStateIssuer
NJ4132OtherNJEYEMED
0041095OtherNJAETNA
311021OtherNJNVA
0283304MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000248 NJ Practitioner - Optometry 9537341342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1040 US Hwy 9
Parlin, NJ 08859-1401
Phone (732) 727-1811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Old Bridge Vision Inc Optometrist CurrentSince Mar 15, 2011 Accepting new patients

Locations

1040 US Highway 9
Parlin, NJ 08859
Phone (732) 727-1811

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1740343573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 US HIGHWAY 9",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591401",
            "telephone_number": "732-727-1811",
            "fax_number": "732-727-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 US HIGHWAY 9",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591401",
            "telephone_number": "732-727-1811",
            "fax_number": "732-727-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ROBERT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00413200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NJ4132",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0041095",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "311021",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

Verify at the official NPI Registry.