Debra J Green, MD
Radiology, Diagnostic Radiology in Newark, New Jersey
1194836890- Practice location
- 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
- Phone
- 973-972-0037
- Fax
- 973-972-9355
- Last updated
- July 8, 2007
Debra J. Green is a Radiology, Diagnostic Radiology based in Newark, NJ. Debra J. Green practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Debra J. Green is 1194836890 and holds a License No. 25MA05276300 (NJ). The current practice location address for Debra J. Green is 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 and can be reached out via phone at 973-972-0037 and via fax at 973-972-9355.
Provider Profile Details
- NPI Number
- 1194836890
- Provider Name
- Debra J. Green
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
- Phone Number
- 973-972-0037
- Fax Number
- 973-972-9355
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- New Jersey
- Zip
- 07107-3000
- Phone Number
- 973-972-0037
- Fax Number
- 973-972-9355
Provider Business Mailing Address Details
- Address
- 30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
- Phone Number
- 973-972-0037
- Fax Number
- 973-972-9355
License Information
- License Number
- 25MA05276300
- License State
- NJ
- Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Debra J Green, MD?
The NPI number of Debra J Green, MD is 1194836890. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Debra J Green, MD?
Debra J Green, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25MA05276300.
Where does Debra J Green, MD practice?
The practice location is 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000. The office can be reached at 973-972-0037 (phone) or 973-972-9355 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194836890 directly on the NPPES registry website.