Joy Lavern Green, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0006224 Issued in MD

Practice address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450

Phone

(561) 247-5907

Fax

(561) 431-2821

NPI assigned

Jul 15, 2016

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

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Site Dermatology Associates LLCGroup PAC ID 6406039973, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• On Site Dermatology Associates LLC

  • Dermatology Physician
  • Parkville, MD
  • NPI 1306154794

  DC

  Medicare reassignment Care Compare group
• Ali Hendi, MD, PC

  • Medical Specialty Clinic/Center
  • Chevy Chase, MD
  • NPI 1629242995

  DC

  Medicare reassignment
• Sanjiv K. Saini M.D.,LLC

  • Specialist
  • Lexington Park, MD
  • NPI 1710020995
  Medicare reassignment
• American Wound Care PC

  • Wound Care Registered Nurse
  • Elkridge, MD
  • NPI 1316799638
  NPD (past)

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1205289196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 SOUTHERN AVE",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207462314",
            "telephone_number": "202-744-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-247-5907",
            "fax_number": "561-431-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOY",
        "middle_name": "LAVERN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Green Dental Studio Boca
• Anna Green, LMHC
• Dwayne Green
• Elisheva Green, OTR/L
• Jaclynn S Green, FNP
• Matthew Ryan Green
• Melanie Duarte Green, M.S. CCC-SLP
• Tara Tzipora Green
• Martin Greenberg, MD
• Michelle Greenberg, PHD

• Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.