Active NPI
John N Green, M.D.
- Gastroenterology Physician
- Springfield, NJ
National Provider Identifier
1114072444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA04005700
- Practice address
- 90 US Highway 22 W
Springfield, NJ 07081-3110 - Phone
- (973) 467-2273
- Fax
- (973) 467-5385
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA04005700 | NJ | Primary |
Addresses
Primary practice location
90 US Highway 22 W
Springfield, NJ 07081-3110
Mailing address
434 Presidential Dr
Lebanon, NJ 08833-2404
Phone (973) 477-0535
Other practice location 1
61 Main St
Suite B
West Orange, NJ 07052-5311
Phone (973) 669-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crystal Medical Group PA | Past | Accepting new patients | |
| Orange Medical Group PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- East Orange, NJ
- NPI 1740546621
-
- Hematology & Oncology Physician
- East Orange, NJ
- NPI 1134148398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1114072444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "434 PRESIDENTIAL DR",
"city": "LEBANON",
"state": "NJ",
"postal_code": "088332404",
"telephone_number": "973-477-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 US HIGHWAY 22 W",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070813110",
"telephone_number": "973-467-2273",
"fax_number": "973-467-5385"
}
],
"practiceLocations": [
{
"address_1": "61 Main St",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "West Orange",
"state": "NJ",
"postal_code": "070525311",
"country_code": "US",
"telephone_number": "973-669-1111",
"fax_number": "973-669-3535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "JOHN",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA04005700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.