Roger Green, M.D., PLLC

Primary specialty

Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X

License

179477 Issued in NY

Legal business name

ROGER GREEN, M.D., PLLC

Practice address

Pine West Plaza, BLDG. #1
Washington Avenue Extension
Albany, NY 12205

Phone

(518) 464-9999

Fax

(518) 464-9650

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Roger D Green, MD

Title

MD Owner

Phone

(518) 464-9999

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023147683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EVERGREEN LN",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981621",
            "telephone_number": "518-464-9999",
            "fax_number": "518-464-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINE WEST PLAZA, BLDG. #1",
            "address_2": "WASHINGTON AVENUE EXTENSION",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-464-9999",
            "fax_number": "518-464-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER GREEN, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "518-464-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NY",
            "license": "179477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01258988",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginna M Roeding, PH.D.
• Alyssa Taylor Roemer, RN
• Douglas Roest-Gyimah, LCSW
• Nana Roest-Gyimah, LCSW
• Carra Quinn Rogan, M.S. CCC-SLP
• Alicia Rogers, M.S.; CF-SLP
• Benaya Rogers, CASAC II
• Felicia Catherine Rogers, FNP-C
• Lynn Rogers, PHARM D
• Sabrina Rogers, LPN

• Pediatrics Physician in Albany, NY
• Providers in Albany, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.