Green Line Business Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GREEN LINE BUSINESS GROUP LLC

Practice address

1 Innovation Way
Newark, DE 19711-5442

Phone

(302) 635-0581

NPI assigned

Aug 13, 2022

Organization subpart

No

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

Authorized official

Name

Frederik Humphreys

Title

Chief Technology Officer

Phone

(302) 635-0581

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Anne Mehring, DDS

  • Dentist
  • Newark, DE
  • NPI 1922012525
  NPD

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

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1013645324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INNOVATION WAY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INNOVATION WAY",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115442",
            "telephone_number": "302-635-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LINE BUSINESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-13",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "FREDERIK",
        "authorized_official_title_or_position": "CHIEF TECHNOLOGY OFFICER",
        "authorized_official_telephone_number": "302-635-0581"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.aboutdaniodiary.com/about-1",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Innovation Way",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197115442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha M Gray, FNP-C
• Ashley Sheila Graybeal, PNP
• Gerard Graziose
• Lisa Graziose
• Greater Self Therapeutic Services LLC
• Andrea L. Green, FNP
• Joy M Green, LCSW
• Kristen Suzanne Green, FNP-BC
• Nicholas C Green, DPM
• Raymond Howard Green, DO

• General Practice Physician in Newark, DE
• Providers in Newark, DE by specialty
• General Practice Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.