Abraham I Green, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

145136 Issued in NY

Practice address

115 Franklin PL
Woodmere, NY 11598

Phone

(516) 295-1200

Fax

(516) 295-1207

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678

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.

• Five Towns Pediatrics

  dba Pediatric Healthcare of LI

  • Pediatrics Physician
  • Woodmere, NY
  • NPI 1538247986
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104919174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FRANKLIN PL",
            "city": "WOODMORE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-569-1200",
            "fax_number": "516-295-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "516-295-1200",
            "fax_number": "516-295-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ABRAHAM",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "145136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Martin Gordon, D.D.S.
• Rachel Gordon, LCSW
• Esther Gottlieb
• Aviva Michelle Graber, OTR/L
• Nancy J. Greebel, OTR
• Judith Green, MD
• Estee Renee Greenberg, OTR
• Shari Greenberg, LMSW
• Stephanie Greenberg, SLP
• Tsippora Greenberger, MS OTR/L

• Pediatrics Physician in Woodmere, NY
• Providers in Woodmere, 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 Jul 8, 2007; 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.