Marie Green, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

286583-1 Issued in NY

Practice address

9 4TH Ave
Bay Shore, NY 11706-7908

Phone

(631) 968-9102

NPI assigned

Oct 30, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Catholic Charities of the Diocese of Rockville Centre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bay Shore, NY
  • NPI 1124034558
  NPD (past)
• Catholic Charities of the Diocese of Rockville Centre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Freeport, NY
  • NPI 1831110972
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1164601837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 GIRARD AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068228",
            "telephone_number": "631-968-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 4TH AVE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067908",
            "telephone_number": "631-968-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "286583-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "286583-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael T Gray, M.D.
• William Richard Gray, PA
• Great South Bay Otolaryngology PC
• Jamie Green
• Maria P Green, COTA
• Paul David Greenblatt, M.D.
• Donna Greenidge
• Greenland Physical Therapy PC
• Gregory Alexander, PH.D. Psychologist, PC
• Jessica Danielle Gregory, CRNA, RN, BSN, MSN

• Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.