Jeffrey Greenberg, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

224763 Issued in NY

Practice address

15 Hospital Dr
Massena, NY 13662-1092

Phone

(315) 769-4638

Fax

(315) 842-3099

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jeffrey Greenberg Professional name

Medicare fee-for-service enrollment

Enrolled in NY, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Obstetrics/Gynecology

Education

Ponce School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amg-Crockett, LLCGroup PAC ID 4789770199, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.greenberg.1@19363.direct.athenahealth.com
• Direct secure messaging: jgreenberg20559@direct.xtensys.com
• Direct secure messaging: grejef@hiemail.healtheconnections.org
• Direct secure messaging: oqs9311@yourcarecommunity.org

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.

• Amg-Crockett, LLC

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1326550732

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Alice Hyde Medical Center

  • Critical Access Hospital
  • Malone, NY
  • NPI 1114954682
  Medicare reassignment NPD
• Arnot Medical Services PLLC

  • Internal Medicine Physician
  • Elmira, NY
  • NPI 1427326768

  Obstetrics & Gynecology

  Medicare reassignment NPD
• St Regis Mohawk Tribe

  • Federally Qualified Health Center (FQHC)
  • Akwesasne, NY
  • NPI 1457344558
  Medicare reassignment NPD
• Jeffrey Greenberg,MD OBGYN , P.S.C.

  • Obstetrics & Gynecology Physician
  • Carolina, PR
  • NPI 1275870248
  NPD Authorized official
• Alice Hyde Medical Center

  • General Practice Physician
  • Malone, NY
  • NPI 1568735660

  Obstetrics & Gynecology

  NPD
• Amg-Crockett, LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1891580858
  NPD
• Alice Hyde Medical Center

  • Skilled Nursing Facility
  • Malone, NY
  • NPI 1356441349
  NPD (past)
• Amg -Southern Tennessee LLC

  • Internal Medicine Physician
  • Monteagle, TN
  • NPI 1699792390
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1902003205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621097",
            "telephone_number": "315-769-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621092",
            "telephone_number": "315-769-4638",
            "fax_number": "315-842-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME104409",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "14357",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "224763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04552838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "GREENBERG",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laura Marie Goldhar, PA
• Alexis Nicole Gondosch
• Jacob A Goyco
• Deirdre Dunham Gray, LCSW
• Kathy E Green, ARNP
• Brenda Irene Greene, PH.D.
• Jennifer Greene
• Mukta Gupta, MD
• Sanjeev Gupta, MD
• Elizabeth Page Hall, FNP-BC

• Obstetrics & Gynecology Physician in Massena, NY
• Providers in Massena, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.