Active NPIIndividual providerSole proprietor

Dr. Michael D Green, MD

Radiology, Diagnostic Radiology in Englewood, New Jersey

NPI Number1447359054
Practice location
380 Kenwood St, Englewood, NJ 07631-5118
Fax
—
Last updated
August 15, 2025

Michael D. Green is a Radiology, Diagnostic Radiology based in Englewood, NJ. Michael D. Green practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Michael D. Green is 1447359054 and holds a License No. 25MA03795000 (NJ). The current practice location address for Michael D. Green is 380 Kenwood St, Englewood, NJ 07631-5118 and can be reached out via phone at 201-602-4444.

Provider Profile Details

NPI Number
1447359054
Provider Name
Michael D. Green
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
380 Kenwood St, Englewood, NJ 07631-5118
Phone Number
201-602-4444
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2006
Last Update Date
August 15, 2025
Certification Date
August 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
380 Kenwood St
Englewood, NJ 07631-5118
Zip
07631-5118
Phone Number
201-602-4444
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
380 Kenwood St
Englewood, NJ 07631-5118
City
Englewood
State
NJ
Zip
07631-5118
Phone Number
201-602-4444

License Information

License Number (1)
25MA03795000
License State (1)
NJ
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (2)
120848-1
License State (2)
NY
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X · 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. Michael D Green, MD?

The NPI number of Dr. Michael D Green, MD is 1447359054. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

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

Dr. Michael D Green, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25MA03795000.

Where does Dr. Michael D Green, MD practice?

The practice location is 380 Kenwood St, Englewood, NJ 07631-5118. The office can be reached at 201-602-4444 (phone).

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 1447359054 directly on the NPPES registry website.

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