Karen M. Green, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

147226-1 Issued in NY

Practice address

775 Park Ave
Suite 145
Huntington, NY 11743-3976

Phone

(631) 367-5395

Fax

(631) 351-4561

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Shore Medical Group of the Mount Sinai School of Medicine

  dba North Shore Medical Group

  • Gastroenterology Physician
  • Huntington, NY
  • NPI 1164623278

  Procedural Dermatology

  NPD
• North Shore Medical Group of the Mount Sinai School of Medicine

  dba Mount Sinai Doctors Long Island

  • Internal Medicine Physician
  • Greenlawn, NY
  • NPI 1275640609
  NPD
• North Shore Medical Group of the Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Wantagh, NY
  • NPI 1992417323
  NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1164438065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 145",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-367-5395",
            "fax_number": "631-351-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 145",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-367-5395",
            "fax_number": "631-351-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KAREN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "147226-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "N92837",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "14D723",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "CS114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Duffy Grande, LMSW
• Michelle Elizabeth Grant
• Gabriella Christine Graziose, DNP, FNP
• Great Whites Kids Pediatric Dentistry
• Gina Greco
• Barry Steven Greene, PH.D.
• Sydney Greene, RDN
• William S Greene, D.M.D.
• Deborah Greenwood, L.AC.
• Nina Nasreen Greif, D.O.

• Procedural Dermatology Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.