Active NPI
Michael Warren Greenberg, D.C.
- Chiropractor
- Cherry Hill, NJ
National Provider Identifier
1780623231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00610700
- Practice address
- 1930 Marlton Pike E
Suite D-21
Cherry Hill, NJ 08003-2150 - Phone
- (856) 489-4480
- Fax
- (856) 489-4481
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00610700 | NJ | Primary |
| Chiropractor | 111N00000X | DC007539L | PA | |
| Chiropractor | 111N00000X | AJ007539L | PA |
Addresses
Primary practice location
1930 Marlton Pike E
Suite D-21
Cherry Hill, NJ 08003-2150
Mailing address
1930 Marlton Pike E
Suite D-21
Cherry Hill, NJ 08003-2150
Phone (856) 489-4480
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3344297 | Other | NJ | AETNA HMO AND POS |
| 200583372 | Other | NJ | HORIZON TRADITIONAL PLANS |
| 2335635 | Other | NJ | UNITED HEALTH CARE |
| 7064114 | Other | NJ | AETNA PPO |
| 2265999000 | Other | NJ | KEYSTONE PLANS |
| 2265999000 | Other | NJ | IBC AND PERSONAL CHOICE |
| 2265999000 | Other | NJ | AMERIHEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040712000041 | NJ | Practitioner - Chiropractic | 8224016795 | Practice locations: Cherry Hill, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00610700 | NJ | MD | Chiropractor |
| AJ007539L | PA | MD | Chiropractor |
| DC007539L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Hill Spine Center, LLC | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Cherry Hill, NJ
- NPI 1598884009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1780623231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 MARLTON PIKE E",
"address_2": "SUITE D-21",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032150",
"telephone_number": "856-489-4480",
"fax_number": "856-489-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 MARLTON PIKE E",
"address_2": "SUITE D-21",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080032150",
"telephone_number": "856-489-4480",
"fax_number": "856-489-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "MICHAEL",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00610700",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007539L",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "AJ007539L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO AND POS",
"identifier": "3344297",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON TRADITIONAL PLANS",
"identifier": "200583372",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2335635",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7064114",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE PLANS",
"identifier": "2265999000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC AND PERSONAL CHOICE",
"identifier": "2265999000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PLANS",
"identifier": "2265999000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.