MEDICARE: ELIOT JEFFREY GREENBERG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MA07562200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3249902	OTHER	NJ	AETNA PROVIDER #
2	P2959238	OTHER	NJ	OXFORD PROVIDER #
3	22-1965413	OTHER	NJ	TAX ID#

General Provider Information

NPI Number	:	1710929989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIOT JEFFREY GREENBERG M.D.

Provider Business Mailing Address
First Line	:	214 CLOVER LN
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-4051
Country	:	US
Telephone Number	:	732-343-1334
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 BUNN DR
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-1968
Country	:	US
Telephone Number	:	609-497-9352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	10/05/2025

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