Healthcare Provider Details

I. General information

NPI: 1255627501
Provider Name (Legal Business Name): STEVEN GREENSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2011
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 FRANK W BURR BLVD
TEANECK NJ
07666
US

IV. Provider business mailing address

300 FRANK W BURR BLVD STE 71
TEANECK NJ
07666-6703
US

V. Phone/Fax

Practice location:
  • Phone: 201-883-0505
  • Fax: 201-692-9646
Mailing address:
  • Phone: 201-692-9434
  • Fax: 201-692-9646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number25MA09903400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: