Organization Active NPI

Kamal Greiss MD PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Jersey City, NJ
National Provider Identifier
1831106558
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
FACILITY80238 Issued in NJ
Legal business name
KAMAL GREISS MD PA
Practice address
75 Montgomery Street
Jersey City, NJ 07302
Phone
(201) 451-1441
Fax
(201) 451-1088
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Kamal C Greiss, MD
Title
Physician
Phone
(201) 451-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X FACILITY80238 NJ Primary

Addresses

Primary practice location

75 Montgomery Street
Jersey City, NJ 07302

Mailing address

148 Brewster Rd
Wyckoff, NJ 07481-2156
Phone (201) 451-1441

Other identifiers 3

IdentifierTypeStateIssuer
2893207MedicaidNJ
1013442OtherHORIZON NJ HEALTH
0788531000OtherAMERIHEALTH GROUP

National Provider Directory

National Provider Directory

Locations

75 Montgomery St
Jersey City, NJ 07302
Phone (201) 369-1900

75 Montgomery St
Fl 401
Jersey City, NJ 07302
Phone (201) 369-1900

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1831106558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 BREWSTER RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812156",
            "telephone_number": "201-451-1441",
            "fax_number": "201-451-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MONTGOMERY STREET",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-451-1441",
            "fax_number": "201-451-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMAL GREISS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "GREISS",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-451-1441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "FACILITY80238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893207",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1013442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH GROUP",
            "identifier": "0788531000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.