DR. RANDY JAY GREENBERG (NPI# 1699795260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699795260 |
| Entity Type | Individual |
| Full Name | DR. RANDY JAY GREENBERG |
| Credential | D.M.D. F.A.G.D. |
| Practice Address |
150 S Turnpike Rd Wallingford CT 06492-4320 |
| Practice Telephone | 2032656789 |
| Practice Fax Number | 2032949088 |
| Mailing Telephone | 2032656789 |
| Mailing Fax Number | 2032949088 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6162 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972712479 | Randy Greenberg | Speech-Language Pathologist | 8929 Harvest Square Ct, Potomac, MD 20854-4475 | 2007-05-21 |
| 1235355892 | Randy Greenberg | Registered Nurse | 1087 E Montague Ave, North Charleston, SC 29405-4826 | 2007-04-18 |
| Street Address |
150 S TURNPIKE RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730561952 | Renee Pamela Borecki | Dentist | 205 North Main Street, Wallingford, CT 06492 | 2015-06-24 |
| 1639405400 | Lawrence John Singer | Dentist | 33 Fair St, Wallingford, CT 06492-4208 | 2009-10-28 |
| 1467667212 | James Craig Dow | Dentist | 181 N Main St, Wallingford, CT 06492-3711 | 2007-05-14 |
| 1356564652 | Kenneth Bruce Roseman | Dentist | 826 East Center Street, Wallingford, CT 06492-5090 | 2007-04-11 |
| 1912037979 | John W Galson Jr. | Dentist | 105 N Providence Rd, Wallingford, PA 19086-6107 | 2007-03-07 |
| 1629103486 | Michael M. Greenwald | Dentist | 850 North Main St. Extension, Building 2, Suite 1-d, Wallingford, CT 06492-4214 | 2007-02-22 |
| 1043358385 | Julius Gold | Dentist | 237 Hall Ave, Wallingford, CT 06492-3573 | 2007-02-01 |
| 1477606978 | Joseph P Cheruka | Dentist | 300 Moore Rd, Wallingford, PA 19086-6844 | 2007-01-19 |
| 1356492185 | Alan D Schupack Dds LLC | Dentist | 850 No Main Street Extension, Suite 2b, Wallingford, CT 06492 | 2007-01-16 |
| 1477610418 | Ronald Michael Hayes | Dentist | 1 Chester Rd, Wallingford, PA 19086-6601 | 2007-01-02 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.