Eric B Greenberg DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC001974L Issued in PA

Legal business name

ERIC B GREENBERG DPM

Practice address

3508 Lincoln Hwy
Thorndale, PA 19372-1005

Phone

(610) 384-5075

Fax

(610) 384-6999

NPI assigned

Feb 26, 2008

Last updated

Jun 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eric B Greenberg, DPMNPI 1285666503

Title

Owner

Phone

(610) 384-5075

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric B Greenberg, DPM

  • Podiatrist
  • Thorndale, PA
  • NPI 1285666503
  NPD (past) Authorized official

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1902075732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721005",
            "telephone_number": "610-384-5075",
            "fax_number": "610-384-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 LINCOLN HWY",
            "city": "THORNDALE",
            "state": "PA",
            "postal_code": "193721005",
            "telephone_number": "610-384-5075",
            "fax_number": "610-384-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC B GREENBERG DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-384-5075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001974L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00508089",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Thorndale, PA
• Providers in Thorndale, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.