Paul J. Greenberg, DPM

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0103000793 Issued in VA

Legal business name

PAUL J. GREENBERG, DPM

Practice address

9291 Laurel Grove Rd
Mechanicsville, VA 23116-2969

Phone

(804) 730-7089

Fax

(804) 730-8987

NPI assigned

Sep 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul Jay Greenberg, DPMNPI 1922174374

Title

Owner

Phone

(804) 730-7089

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul Jay Greenberg, DPM

  • Foot Surgery Podiatrist
  • Mechanicsville, VA
  • NPI 1922174374
  NPD (past) Authorized official

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1811279672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 LAUREL GROVE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162969",
            "telephone_number": "804-730-7089",
            "fax_number": "804-730-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 LAUREL GROVE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162969",
            "telephone_number": "804-730-7089",
            "fax_number": "804-730-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. GREENBERG, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-730-7089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "0103000793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mechanicsville, VA
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.