Active NPI
Linda Greenberg, MD
- Pediatrics Physician
- Elkins Park, PA
National Provider Identifier
1932148681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD072456
- Practice address
- 1939 Cheltenham Ave.
Elkins Park, PA 19027 - Phone
- (215) 884-5715
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD072456 | PA | Primary |
Addresses
Primary practice location
1939 Cheltenham Ave.
Elkins Park, PA 19027
Mailing address
1939 Cheltenham Ave.
Elkins Park, PA 19027
Phone (215) 884-5715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001869156 | Medicaid | PA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD072456 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Services Inc | Past | Accepting new patients |
Interoperability endpoints
- drgreenberg@tricountypeds.directbygreenway.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881629012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286323200000",
"number": "1932148681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 CHELTENHAM AVE.",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "19027",
"telephone_number": "215-884-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 CHELTENHAM AVE.",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "19027",
"telephone_number": "215-884-5715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "LINDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2010-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD072456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001869156",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
- Greater Philadelphia Oral Surgery PC
- Greater Philadelphia Psychological Associates, PC (Gppa, PC)
- Bethanie M Greco, CRNP
- Lisa A Green, CRNP
- Lawrence Greenberg, M.D.
- Felicia B Greenfield -Blau, PT
- Kyomi Dana Gregory, PH.D., CCC-SLP
- Samantha Ann Gregory, RBT
- Melissa Thompson Griffin, PA-C
- Angela Merici Griffiths, MSW LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.