Individual provider Active NPI

Jacob Reuben Greebel, MSW, MSED

  • Social Worker
  • Sea Cliff, NY
National Provider Identifier
1780246041
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
268 Sea Cliff Ave
Sea Cliff, NY 11579-1240
Phone
(516) 673-8434
NPI assigned
Jul 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

268 Sea Cliff Ave
Sea Cliff, NY 11579-1240

Mailing address

112 Lafayette PL
Woodmere, NY 11598-2140

Other practice location 1

316 Sea Cliff Ave
Sea Cliff, NY 11579-1239
Phone (516) 673-8434

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1562457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1780246041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LAFAYETTE PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 SEA CLIFF AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791240",
            "telephone_number": "516-673-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Sea Cliff Ave",
            "address_purpose": "LOCATION",
            "city": "Sea Cliff",
            "state": "NY",
            "postal_code": "115791239",
            "country_code": "US",
            "telephone_number": "516-673-8434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEBEL",
        "first_name": "JACOB",
        "middle_name": "REUBEN",
        "credential": "MSW, MSED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-07",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Cliff, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; 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.