Individual provider Active NPI

Jonathan Phillip Greenberg, MBBCH

  • Ophthalmology Physician
  • Wayne, NJ
National Provider Identifier
1992189500
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA11104200 Issued in NJ
Practice address
1044 Route 23 Ste 208
Wayne, NJ 07470-6685
Phone
(973) 633-9898
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD480594 PA
Ophthalmology Physician 207W00000X 25MA11104200 NJ Primary

Addresses

Primary practice location

1044 Route 23 Ste 208
Wayne, NJ 07470-6685

Mailing address

420 Mountain Ave FL 4
New Providence, NJ 07974-2736
Phone (908) 458-8333

Other identifiers 1

IdentifierTypeStateIssuer
0787574MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20210810004220 NJ Practitioner - Ophthalmology 8628302247 Reassigns benefits to 1 organization
I20230427001063 PA Practitioner - Ophthalmology 8628302247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1044 Rte
23 Suite 207 208
Wayne, NJ 07470-6631
Phone (973) 633-9898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bethlehem Eye Associates, P.C. Ophthalmology CurrentSince Jun 1, 2023 Accepting new patients
Associated Retinal Consultants LLC Ophthalmology CurrentSince Aug 1, 2021 Accepting new patients
Associated Retinal Consultants LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

50 Newark Ave
Ste 306
Belleville, NJ 07109
Phone (973) 450-0220

315 Elmora Ave
Ste 202
Elizabeth, NJ 07208
Phone (908) 409-4900

182 South St
Ste 5
Morristown, NJ 07960
Phone (201) 267-3944

420 Mountain Ave
Fl 4
New Providnce, NJ 07974

2 Capital Way
Ste 326
Pennington, NJ 08534
Phone (609) 882-8833

200 S Broad St
Ridgewood, NJ 07450
Phone (201) 444-0009

628 Cedar Ln
Teaneck, NJ 07666
Phone (201) 837-7300

3196 Kennedy Blvd
Union City, NJ 07087
Phone (201) 223-4949

2952 Vauxhall Rd
Vauxhall, NJ 07088
Phone (908) 349-8155

10 Mountain Blvd
Warren, NJ 07059
Phone (908) 226-9000

1044 Route 23
Ste 208
Wayne, NJ 07470
Phone (973) 633-9898

1044 Route 23
Ste 207208
Wayne, NJ 07470
Phone (973) 633-9898

1044 State Route 23
Ste 207
Wayne, NJ 07470

592 Springfield Ave
Westfield, NJ 07090
Phone (908) 301-0888

800 Eaton Ave
Ste 101
Bethlehem, PA 18018
Phone (610) 691-3335

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1992189500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MOUNTAIN AVE FL 4",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742736",
            "telephone_number": "908-458-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 ROUTE 23 STE 208",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706685",
            "telephone_number": "973-633-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JONATHAN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "MBBCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD480594",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA11104200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0787574",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.