DR. JONATHAN PAUL GREENBLATT (NPI# 1912960568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912960568 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN PAUL GREENBLATT |
| Credential | M.D. |
| Practice Address |
1 Elliot Way Suite 100 Manchester NH 03103 |
| Mailing Address |
100 Old Palisade Rd. Apt. 4102 Ph-2 Fort Lee NJ 07024-7064 |
| Practice Telephone | 6036271669 |
| Practice Fax Number | 6036242297 |
| Mailing Telephone | 2015851564 |
| Mailing Fax Number | 2015851564 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
T-0528 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 2081492 | 05 |
| Street Address |
1 ELLIOT WAY SUITE 100 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006253 | Benjamin J Grudinskas Jr. | Anesthesiology | 1 Elliot Way, Manchester, NH 03103-3502 | 2005-07-11 |
| 1437766904 | Samantha Oslin | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-09-28 |
| 1104439603 | Kerry Mcdonald | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-08-25 |
| 1851912331 | Katrina M Sibley | Nurse Anesthetist, Certified Registered | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| 1346861895 | Rebecca Lauren Hicks | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2020-05-06 |
| 1386270320 | Brooke E Kanehl | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2020-03-22 |
| 1598306383 | Rachel Marie Baroody | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-10-02 |
| 1407417355 | Oluwatoyin Oshin | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-06-21 |
| 1316504103 | Diana Renee Tanner | Nurse Practitioner | 1 Elliot Way, Manchester, NH 03103-3502 | 2019-05-28 |
| 1376004622 | Courtney A O'connor | Registered Nurse | 1 Elliot Way, Manchester, NH 03103-3599 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012040 | Keerthana Kalengada Karumbaiah | Internal Medicine | 65 Glenndale Rd, Suite 2, Manchester, KY 40962-6212 | 2008-08-04 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| 1023077609 | Hazar Dahhan | Internal Medicine | 201 Main St, Manchester, CT 06042-3540 | 2006-03-21 |
| 1114995321 | Joseph Hanna | Internal Medicine | 18 Haynes St, Manchester, CT 06040-4111 | 2006-03-14 |
| 1962482109 | Saqib Naseer | Internal Medicine | 257 E Center St, Manchester, CT 06040-5214 | 2006-01-21 |
| 1427043777 | Eastern Connecticut Cardiology Associates LLC | Internal Medicine | 43 W Middle Tpke, Manchester, CT 06040-4057 | 2005-09-13 |
| 1811993280 | Ashwini Anand | Internal Medicine | 56 Marie Langdon Dr, Manchester, KY 40962-6329 | 2005-06-22 |
| 1275970394 | Carolyn Davidson | Internal Medicine | 1 Elliot Way Ste 100, Manchester, NH 03103-3502 | 2013-05-30 |
| 1689937278 | Besiana Liti | Internal Medicine | 100 Mcgregor St, Manchester, NH 03102 | 2012-06-19 |
| 1174827638 | Elliot Professional Services | Internal Medicine | 1 Elliot Way, Suite 100, Manchester, NH 03103-3502 | 2010-12-27 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
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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.