MR. GARY GREENBERG (NPI# 1215977269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215977269 |
| Entity Type | Individual |
| Full Name | MR. GARY GREENBERG |
| Practice Address |
175 Madison Ave Mount Holly NJ 08060-2038 |
| Mailing Address |
16 Quincy Manor Ln Burlington NJ 08016-5116 |
| Practice Telephone | 6092617046 |
| Practice Fax Number | 6099146067 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00033100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124285770 | Gary Lee Greenberg | Chiropractor | 4 Firelight Ct, Dix Hills, NY 11746-8316 | 2008-05-21 |
| 1740383330 | Gary Scott Greenberg | Dentist | 109 South Warren St, Ste 1700, Syracuse, NY 13202 | 2006-09-07 |
| 1902847643 | Gary M Greenberg | Dentist | 431 Haines Mill Rd, Allentown, PA 18104-5940 | 2006-06-10 |
| 1346295409 | Gary L Greenberg | Anesthesiology | 400 W Mineral King, Visalia, CA 93291 | 2006-05-24 |
| 1386604882 | Gary N. Greenberg | Internal Medicine | 2103 Bayleaf Dr, Durham, NC 27712-2021 | 2006-03-27 |
| 1720070683 | Gary M Greenberg | Internal Medicine | 725 S Wahanna Rd Ste 230, Seaside, OR 97138-7735 | 2005-08-17 |
| 1770580482 | Gary Greenberg | Family Medicine | 4116 University Ave, Des Moines, IA 50311-3533 | 2005-07-07 |
| 1801942016 | Gary Greenberg | Psychologist | 1500 Shermer Rd, 348, Northbrook, IL 60062-5340 | 2007-01-28 |
| 1386650513 | Gary Greenberg | Counselor | 400 Bayonet St, New London, CT 06320-2600 | 2006-07-31 |
| 1447220652 | Gary A Greenberg | Optometrist | 1093 N Union St, Middletown, PA 17057-2159 | 2006-01-23 |
| Street Address |
175 MADISON AVE |
| City | MOUNT HOLLY |
| State | NJ |
| Zip Code | 08060-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125016 | Virtua Memorial Hospital of Burlington County, Inc. | General Acute Care Hospital | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2005-06-24 |
| 1912545294 | Stephanie Waldron | Hospitalist | 175 Madison Ave, Mount Holly, NJ 08060-2099 | 2019-12-17 |
| 1922643394 | Lillian Lau | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-11-09 |
| 1407403728 | Osvaldo Martinez | Nurse Anesthetist, Certified Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-08-21 |
| 1386290989 | Zyril Carilo | Nurse Anesthetist, Certified Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-08-11 |
| 1013577345 | Amanda Stevenson | Dietitian, Registered | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2019-06-18 |
| 1245708742 | Nicholas Belevich | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2018-11-02 |
| 1922587401 | Caralynn Marie Arena | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2099 | 2018-08-07 |
| 1154826634 | Mending Hands Surgical Assisting, LLC | Registered Nurse | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2018-03-27 |
| 1881104917 | Sasha Johnson | Nurse Practitioner | 175 Madison Ave, Mount Holly, NJ 08060 | 2017-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613092 | Priscilla Gonzales | Counselor | 795 Woodlane Road, Suite 301, Mount Holly, NJ 08060 | 2020-06-12 |
| 1255838157 | Frederick Hart IIi | Occupational Therapist | 1934 Burlington-mt. Holly Road Suite A, Westampton, NJ 08060 | 2018-04-09 |
| 1457860116 | Lea Gartenmayer | Speech-Language Pathologist | 1934 Burlington-mount Holly Rd, Westampton, NJ 08060 | 2017-09-26 |
| 1295261618 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 202 Burrs Rd, Westampton, NJ 08060 | 2017-05-04 |
| 1871038620 | Michael Green. | Counselor | 770 Wooland Road, Westampton, NJ 08060 | 2017-01-04 |
| 1851841696 | Virtua Medical Group, Pa | Clinic/Center | 555 High St, Suite 16a, Mount Holly, NJ 08060 | 2016-10-05 |
| 1821441213 | Joseph Cooper Sr. | Counselor | 770 Woodlene Road, Westampton, NJ 08060 | 2016-07-20 |
| 1790148724 | Leah Holden | Pharmacist | 531 High St, Mt Holly, NJ 08060 | 2016-03-29 |
| 1083088892 | Joanne Hawkins | Counselor | 770 Woodlane Rd. Suite 35, Mt. Holly, NJ 08060 | 2015-11-17 |
| 1730557448 | Legacy Treatment Services | In Home Supportive Care | 243 Pine Street, Mount Holly, NJ 08060 | 2015-09-11 |
| Find all providers in zip 08060 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669916557 | Eric Soult | Physician Assistant | 108 Ridgeway St, Mount Holly, NJ 08060-1440 | 2016-12-12 |
| 1588650394 | John Martin Bradshaw | Physician Assistant | 112 Woodlawn Rd, Mount Holly, NC 28120-1775 | 2005-09-27 |
| 1922587401 | Caralynn Marie Arena | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2099 | 2018-08-07 |
| 1982139739 | Katelyn Marie Dowling | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2017-04-28 |
| 1114378759 | Brian Charles Wallace | Physician Assistant | 125 W Catawba Ave, Mount Holly, NC 28120-1601 | 2016-06-24 |
| 1811167703 | Rose Williams | Physician Assistant | 215 S Main St, Mount Holly, NC 28120-1620 | 2008-03-06 |
| 1740237056 | Carolyn Doris Nixon | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2006-05-30 |
| 1447207477 | South Jersey Emergency Physicians | Physician Assistant | 175 Madison Ave, Mount Holly, NJ 08060-2038 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT HOLLY |
| Zip Code | 08060 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.