DR. JASON HENRY GREENBERG (M.D.) – Pediatric Nephrology Physician, NPI 1497082648

DR. JASON HENRY GREENBERG (M.D.) is a healthcare provider. based in New haven, Connecticut. specializing in NEPHROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 255221 (NY). The NPI Number for DR. JASON HENRY GREENBERG (M.D.) is 1497082648

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON HENRY GREENBERG (M.D.)
NPI
1497082648
Phone
(516) 353-9719
Address
15 W ROCK AVE
Enumeration Date
9 November 2009
Last Update Date
18 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036882433
Graduation Year
2008 (18 years ago)
PAC ID
8729258587
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20160907001123
Address ID
CT065103220NE20XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

204 NEPHROLOGY in CT

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Provider Addresses for DR. JASON HENRY GREENBERG (M.D.)

  • 15;17, West Rock Avenue, Suburban Westville Historic District, Westville, New Haven, Connecticut, 06515, United States

    NEW HAVEN, CT 065152218

    Phone: (516) 353-9719

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160907001123INephrologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06515)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

Can I cross-check DR. JASON HENRY GREENBERG (M.D.) using NPI 1497082648?
NPI 1497082648 belongs to DR. JASON HENRY GREENBERG (M.D.); compare other details if you need extra assurance.
Is DR. JASON HENRY GREENBERG (M.D.) shown as active in public data?
Registry records indicate DR. JASON HENRY GREENBERG (M.D.) maintains an active NPI.
What kind of doctor is DR. JASON HENRY GREENBERG (M.D.)?
DR. JASON HENRY GREENBERG (M.D.) is associated with Pediatric Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JASON HENRY GREENBERG (M.D.) located near New Haven?
DR. JASON HENRY GREENBERG (M.D.) currently maps to New Haven, Connecticut in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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