Healthcare Provider Details

I. General information

NPI: 1992637763
Provider Name (Legal Business Name): ARIELLE GREENBERG
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BS GOVERNORS AVE 1111 STE 28925
DOVER DE
19904
US

IV. Provider business mailing address

BS GOVERNORS AVE 1111 STE 28925
DOVER DE
19904
US

V. Phone/Fax

Practice location:
  • Phone: 908-420-3445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR23818800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number688674
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: