Individual provider Active NPI

Janice Elaine Green, MASLP

  • Speech-Language Pathologist
  • Clifton Springs, NY
National Provider Identifier
1255623617
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020655 Issued in NY
Practice address
440 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone
(315) 462-3588
Fax
(315) 462-6590
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 020655 NY Primary

Addresses

Primary practice location

440 Clifton Springs Professional Park
Clifton Springs, NY 14432

Mailing address

440 Clifton Springs Professional Park
Clifton Springs, NY 14432
Phone (315) 462-3588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020655NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Korpiel Physical Therapy, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1255623617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "14432",
            "telephone_number": "315-462-3588",
            "fax_number": "315-462-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CLIFTON SPRINGS PROFESSIONAL PARK",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "14432",
            "telephone_number": "315-462-3588",
            "fax_number": "315-462-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JANICE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MASLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.