Samantha Greene

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

14 Lee Ave
Haledon, NJ 07508-1225

Phone

(862) 849-9319

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innercity Health Solutions LLC

  • Clinical Medical Laboratory
  • Haledon, NJ
  • NPI 1114510088
  NPD Authorized official
• Innercity Health Outreach

  • Clinical Medical Laboratory
  • Haledon, NJ
  • NPI 1629720925
  NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1235721994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LEE AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081225",
            "telephone_number": "862-849-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LEE AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081225",
            "telephone_number": "862-849-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghana Fadadu
• Ahmad Faraj, PHARM.D., B.S.
• Charles Allen Ferrer Jr.
• Gleason Chiropractic Center P.C
• Ashley Lauren Grayson, MA, MA, LAC
• Haledon Advanced Chiropractic LLC
• Haledon Advanced Physical Therapy, LLC
• Haledon Board of Education
• Haledon Cardiology Group
• Haledon Dental Spa LLC (Nuva Smile)

• Clinical Medical Laboratory in Haledon, NJ
• Providers in Haledon, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.