DR. JASON HENRY GREENBERG (NPI# 1497082648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497082648 |
Entity Type | Individual |
Full Name | DR. JASON HENRY GREENBERG |
Credential | M.D. |
Practice Address |
15 W Rock Ave New Haven CT 06515-2218 |
Practice Telephone | 5163539719 |
Mailing Telephone | 5163539719 |
Enumeration Date | 2009-11-09 |
Last Update Date | 2016-07-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 255221 | NY | Allopathic & Osteopathic Physicians |
Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
54561 | CT | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003977349 | Jason H. Greenberg | Optometrist | 248 E Gladys Ave, Elmhurst, IL 60126-1928 | 2006-12-12 |
1326667973 | Jason William Greenberg | Student in an Organized Health Care Education/Training Program | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104-1004 | 2020-04-14 |
1912119629 | Jason Todd Greenberg | Anesthesiology | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2007-05-04 |
1770606329 | Jason B Greenberg | Ophthalmology | 4001 Dutchmans Ln, Ste. 5f, Louisville, KY 40207-4714 | 2007-04-09 |
1932113198 | Jason Greenberg | Psychologist | 910 W End Ave, 1c, New York, NY 10025-3533 | 2006-07-27 |
1831160720 | Jason P Greenberg | Physical Medicine & Rehabilitation | Helen Hayes Hospital, Route 9w, West Haverstraw, NY 10993-1195 | 2006-01-30 |
Street Address |
15 W ROCK AVE |
City | NEW HAVEN |
State | CT |
Zip Code | 06515-2218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
Find all providers in zip 06515 |
Taxonomy Code | 2080P0210X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Nephrology |
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811284920 | Jillian Kateri Warejko | Pediatrics | 1 Park Street, Section of Pediatric Nephrology, New Haven, CT 06510 | 2011-07-09 |
1053559062 | Cynthia Jean Dalessandri-silva | Pediatrics | 20 York St, New Haven, CT 06510-3220 | 2009-01-29 |
1629271473 | Julie Elizabeth Goodwin | Pediatrics | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2007-06-08 |
1194801043 | Alda Tufro | Pediatrics | 1 Park St, Yale New Haven Children's Hospital, New Haven, CT 06504-8901 | 2006-10-31 |
1912982463 | Sandra Iragorri Iragorri | Pediatrics | 20 York St, Ynhh Children's Hospital, West Pavilion, 2nd Floor, New Haven, CT 06510-3220 | 2005-12-07 |
1407830367 | Hetal Sushil Kocinsky | Pediatrics | 20 York St, Yale New Haven Children's Hospital, New Haven, CT 06510-3220 | 2005-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447879846 | Karen Maria Gaudio | Pediatrics | 15 Ozone Rd, Branford, CT 06405-5509 | 2020-04-15 |
1164497566 | Majid Rasoulpour | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-20 |
1750364972 | Bruce M Mcdonald | Pediatrics | 267 Grant St, Bridgeport, CT 06610-2805 | 2005-11-22 |
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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.