Active NPIIndividual provider

Dr. Jon D Green, MD

Internal Medicine, Gastroenterology in West Orange, New Jersey

NPI Number1245283563
Practice location
449 Mount Pleasant Ave, 2ND Floor, West Orange, NJ 07052-2723
Fax
973-731-7907
Last updated
November 21, 2016

Jon David Green is an Internal Medicine, Gastroenterology based in West Orange, NJ. Jon David Green practices in West Orange, NJ and has the professional credentials of MD. The NPI Number for Jon David Green is 1245283563 and holds a License No. MA03035500 (NJ). The current practice location address for Jon David Green is 449 Mount Pleasant Ave, 2ND Floor, West Orange, NJ 07052-2723 and can be reached out via phone at 973-731-7868 and via fax at 973-731-7907.

Provider Profile Details

NPI Number
1245283563
Provider Name
Jon David Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
449 Mount Pleasant Ave, 2ND Floor, West Orange, NJ 07052-2723
Phone Number
973-731-7868
Fax Number
973-731-7907
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
May 18, 2006
Last Update Date
November 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
449 Mount Pleasant Ave
2ND Floor
West Orange, NJ 07052-2723
Zip
07052-2723
Phone Number
973-731-7868
Fax Number
973-731-7907
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
Po Box 416457
Boston, MA 02241-6457
City
Boston
State
MA
Zip
02241-6457

License Information

License Number
MA03035500
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Jon D Green, MD?

The NPI number of Dr. Jon D Green, MD is 1245283563. It was assigned on May 18, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jon D Green, MD?

Dr. Jon D Green, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number MA03035500.

Where does Dr. Jon D Green, MD practice?

The practice location is 449 Mount Pleasant Ave, 2ND Floor, West Orange, NJ 07052-2723. The office can be reached at 973-731-7868 (phone) or 973-731-7907 (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 1245283563 directly on the NPPES registry website.

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