Individual provider Active NPI

Leslie J Green, MD

  • Ophthalmology Physician
  • Goshen, NY
National Provider Identifier
1124002597
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
149367 Issued in NY
Practice address
1 Hatfield LN
Ste 3 Eye Physicians of Orange County PC
Goshen, NY 10924-6752
Phone
(845) 294-5128
Fax
(845) 294-1479
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 149367 NY Primary

Addresses

Primary practice location

1 Hatfield LN
Ste 3 Eye Physicians of Orange County PC
Goshen, NY 10924-6752

Mailing address

1 Hatfield LN
Ste 3 Eye Physicians of Orange County PC
Goshen, NY 10924-6752
Phone (845) 294-5128

Other identifiers 1

IdentifierTypeStateIssuer
00837976MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000052 NY Practitioner - Ophthalmology 7416975024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1979
Medicare assignment
May accept Medicare assignment
Group practices
Eye Physicians of Orange County PCGroup PAC ID 9335039957, 8 clinicians

Practice addresses (Care Compare)

845 State Route 17M
Monroe, NY 10950-1606
Phone (845) 782-0129

Hospital & facility affiliations

  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
86.67
Improvement activities
40
Cost
65.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Orange County PC Ophthalmology CurrentSince Feb 25, 1986 Accepting new patients
Eye Physicians of Orange County PC Ophthalmology Current Accepting new patients
Eye Physicians of Orange County PC Ophthalmology CurrentSince Feb 25, 1986 Accepting new patients

Locations

1 Hatfield Ln
Ste 3
Goshen, NY 10924
Phone (845) 294-5128

845 State Route 17M
Ste 2
Monroe, NY 10950
Phone (845) 782-0129

845 State Route 17M
Monroe, NY 10950
Phone (845) 782-0129

8 Forester Ave
Warwick, NY 10990
Phone (845) 986-5352

8 Forester Ave
#C
Warwick, NY 10990
Phone (845) 987-1203

42 High St
Warwick, NY 10990
Phone (845) 986-6999

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: leslie.green.p1@direct.epocny.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1124002597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HATFIELD LN",
            "address_2": "STE 3 EYE PHYSICIANS OF ORANGE COUNTY PC",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246752",
            "telephone_number": "845-294-5128",
            "fax_number": "845-294-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HATFIELD LN",
            "address_2": "STE 3 EYE PHYSICIANS OF ORANGE COUNTY PC",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246752",
            "telephone_number": "845-294-5128",
            "fax_number": "845-294-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LESLIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "149367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00837976",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.