Healthcare Provider Details

I. General information

NPI: 1497896013
Provider Name (Legal Business Name): GREENBERG CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9414 VENTNOR AVE # A
MARGATE CITY NJ
08402-2317
US

IV. Provider business mailing address

9414 VENTNOR AVE # A
MARGATE CITY NJ
08402-2317
US

V. Phone/Fax

Practice location:
  • Phone: 609-823-9300
  • Fax: 609-823-9505
Mailing address:
  • Phone: 609-823-9300
  • Fax: 609-823-9505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN GREENBERG
Title or Position: OWNER
Credential: DC
Phone: 609-823-9300