Individual provider Active NPI

Carlene P. Green

  • Family Nurse Practitioner
  • Plainfield, NJ
National Provider Identifier
1013378439
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ006144400 Issued in NJ
Practice address
1416 Park Ave
Plainfield, NJ 07060-2911
Phone
(908) 757-6363
Fax
(908) 754-6807
NPI assigned
Mar 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ0107400 NJ
Family Nurse Practitioner 363LF0000X 26NJ006144400 NJ Primary

Addresses

Primary practice location

1416 Park Ave
Plainfield, NJ 07060-2911

Mailing address

1416 Park Ave
Plainfield, NJ 07060-2911
Phone (908) 757-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318002052 NJ Practitioner - Nurse Practitioner 8820445216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arc Mercer IncGroup PAC ID 1355571308, 7 clinicians

Practice addresses (Care Compare)

1542 Kuser Rd
Suite B7
Hamilton, NJ 08619-3829
Phone (609) 989-9211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ006144400NJMDFamily Nurse Practitioner
26NJ0107400NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Mercer, Inc. CurrentSince Feb 5, 2024 Accepting new patients

Locations

180 Ewingville Rd
Ewing, NJ 08638

3131 Princeton Pike
Ste 5-109
Lawrenceville, NJ 08648

1542 Kuser Rd
Ste B7
Trenton, NJ 08619
Phone (609) 581-1400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1013378439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602911",
            "telephone_number": "908-757-6363",
            "fax_number": "908-754-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070602911",
            "telephone_number": "908-757-6363",
            "fax_number": "908-754-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CARLENE",
        "middle_name": "P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ0107400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ006144400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.