Healthcare Provider Details

I. General information

NPI: 1942599550
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL MCGREEVY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PROSPECT AVE STE 402
HACKENSACK NJ
07601-1941
US

IV. Provider business mailing address

20 PROSPECT AVE STE 402
HACKENSACK NJ
07601-1941
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-8778
  • Fax: 551-996-0980
Mailing address:
  • Phone: 551-996-8778
  • Fax: 551-996-0980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA09885800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: