Active NPIOrganization

John N Green, M.d.,pa

Internal Medicine, Gastroenterology in West Orange, New Jersey

NPI Number1417079062
Practice location
61 Main St, Suite B, West Orange, NJ 07052-5311
Fax
973-669-3535
Last updated
July 13, 2012

John N Green, M.d.,pa is a healthcare organization based in West Orange, NJ. John N Green, M.d.,pa practices in West Orange, NJ. The NPI Number for John N Green, M.d.,pa is 1417079062 and holds a License No. MA40057 (NJ). The current practice location address for John N Green, M.d.,pa is 61 Main St, Suite B, West Orange, NJ 07052-5311 and can be reached out via phone at 973-669-1111 and via fax at 973-669-3535.

Provider Profile Details

NPI Number
1417079062
Provider Name
John N Green, M.d.,pa
Provider Entity Type
Organization
Address
61 Main St, Suite B, West Orange, NJ 07052-5311
Phone Number
973-669-1111
Fax Number
973-669-3535
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
Yes
Parent Organization
John N Green, M.d.,pa
Authorized Official
Dr. John Nezzel Green, MD · President · 973-669-1111
Provider Enumeration Date
April 4, 2007
Last Update Date
July 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
61 Main St
Suite B
West Orange, NJ 07052-5311
Zip
07052-5311
Phone Number
973-669-1111
Fax Number
973-669-3535
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
61 Main St
Suite B
West Orange, NJ 07052-5311
City
West Orange
State
NJ
Zip
07052-5311
Phone Number
973-669-1111
Fax Number
973-669-3535

License Information

License Number
MA40057
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 John N Green, M.d.,pa?

The NPI number of John N Green, M.d.,pa is 1417079062. It was assigned on April 4, 2007 and is currently active in the NPPES registry.

What is the specialty of John N Green, M.d.,pa?

John N Green, M.d.,pa is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number MA40057.

Where does John N Green, M.d.,pa practice?

The practice location is 61 Main St, Suite B, West Orange, NJ 07052-5311. The office can be reached at 973-669-1111 (phone) or 973-669-3535 (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 1417079062 directly on the NPPES registry website.

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