Individual provider Active NPI

Alan Jay Greenberg, DPM

  • Foot & Ankle Surgery Podiatrist
  • Succasunna, NJ
National Provider Identifier
1831151893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD00098200 Issued in NJ
Practice address
66 Sunset Strip
Suite 306
Succasunna, NJ 07876-1345
Phone
(973) 584-4600
Fax
(973) 584-9359
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD00098200 NJ Primary

Addresses

Primary practice location

66 Sunset Strip
Suite 306
Succasunna, NJ 07876-1345

Mailing address

66 Sunset Strip
Suite 306
Succasunna, NJ 07876-1345
Phone (973) 584-4600

Other identifiers 1

IdentifierTypeStateIssuer
1913107MedicaidNJ

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD00098200NJMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831151893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "address_2": "SUITE 306",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761345",
            "telephone_number": "973-584-4600",
            "fax_number": "973-584-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SUNSET STRIP",
            "address_2": "SUITE 306",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761345",
            "telephone_number": "973-584-4600",
            "fax_number": "973-584-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ALAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD00098200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1913107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.