Paul Jay Greenberg, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0103000793 Issued in VA

Practice address

9291 Laurel Grove Rd
Mechanicsville, VA 23116-2969

Phone

(804) 730-7089

Fax

(804) 730-8987

NPI assigned

Nov 28, 2006

Last updated

Nov 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul J. Greenberg, DPM

  • Durable Medical Equipment & Medical Supplies
  • Mechanicsville, VA
  • NPI 1811279672
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1922174374",
    "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": {
        "last_name": "GREENBERG",
        "first_name": "PAUL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103000793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009332219",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "195483",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kila Gray, CCC-SLP
• Melanie Ann Gray, P.T.
• Kacey Greczek, OTR
• Mekayla Green
• Sean David Green, MSN APRN FNP-BC
• Greenbrook TMS Mechanicsville, LLC
• Bethany Greene, BCBA
• Stephanie Wheeler Greene, MS, CCC-SLP
• Renee W Greenfield, CRNA
• Jessy Keller Dias Greenwald

• Foot Surgery Podiatrist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Foot Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.