Samuel B Green, PA-C
Physician Assistant in Moorestown, New Jersey
1275575433- Practice location
- 300 W Route 38, Moorestown, NJ 08057-3424
- Phone
- 609-267-9400
- Fax
- 856-234-3921
- Last updated
- November 2, 2026
Samuel B. Green is a Physician Assistant based in Moorestown, NJ. Samuel B. Green practices in Moorestown, NJ and has the professional credentials of PA-C. The NPI Number for Samuel B. Green is 1275575433 and holds a License No. 25MP00063500 (NJ). The current practice location address for Samuel B. Green is 300 W Route 38, Moorestown, NJ 08057-3424 and can be reached out via phone at 609-267-9400 and via fax at 856-234-3921.
Provider Profile Details
- NPI Number
- 1275575433
- Provider Name
- Samuel B. Green
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 300 W Route 38, Moorestown, NJ 08057-3424
- Phone Number
- 609-267-9400
- Fax Number
- 856-234-3921
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2006
- Last Update Date
- November 2, 2026
- Certification Date
- November 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 W Route 38
Moorestown, NJ 08057-3424 - City
- Moorestown
- State
- New Jersey
- Zip
- 08057-3424
- Phone Number
- 609-267-9400
- Fax Number
- 856-234-3921
Provider Business Mailing Address Details
- Address
- 301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197 - City
- Marlton
- State
- NJ
- Zip
- 08053-4197
- Phone Number
- 609-267-9400
- Fax Number
- 856-234-3921
License Information
- License Number
- 25MP00063500
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · 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 Samuel B Green, PA-C?
The NPI number of Samuel B Green, PA-C is 1275575433. It was assigned on June 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Samuel B Green, PA-C?
Samuel B Green, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00063500.
Where does Samuel B Green, PA-C practice?
The practice location is 300 W Route 38, Moorestown, NJ 08057-3424. The office can be reached at 609-267-9400 (phone) or 856-234-3921 (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 1275575433 directly on the NPPES registry website.