Individual provider Active NPI

Philip Green, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1275675027
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
253211 Issued in NY
Practice address
177 Ft Washingtn Ave
New York, NY 10032-3733
Phone
(212) 342-3616
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 253211 NY
Interventional Cardiology Physician 207RI0011X 253211 NY Primary

Addresses

Primary practice location

177 Ft Washingtn Ave
New York, NY 10032-3733

Mailing address

630 W 168TH St
Box 4
New York, NY 10032-3725
Phone (212) 342-3616

Other practice location 1

8718 Bay Pkwy Fl 1-2
Brooklyn, NY 11214-5272
Phone (718) 266-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100511000448 NJ Practitioner - Interventional CardiologyPractitioner - Internal Medicine 0840328910 Reassigns benefits to 3 organizations
I20140731002246 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840328910 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians
Sorin Medical PCGroup PAC ID 5193966059, 17 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

177 N Dean St
Suite 203
Englewood, NJ 07631-2523
Phone (201) 503-0833

8718 Bay Pkwy
FL 1 2
Brooklyn, NY 11214-5272
Phone (718) 226-0900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.92 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
77.61

Merit-based Incentive Payment System (MIPS)

Final score
57.9 of 100Reported as individual
Quality
62.43
Promoting interoperability
0
Improvement activities
30
Cost
67.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Varicose vein removal1-10
Leg revascularization (restoring blood flow)24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Mar 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2021 Accepting new patients
Middletown Medical PC Cardiovascular Disease CurrentSince Oct 12, 2023 Accepting new patients
Aristahealth Medical Care PC CurrentSince Sep 17, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 1, 2014 Accepting new patients
Middletown Medical PC CurrentSince Oct 12, 2023 Accepting new patients
Columbia Doctors of New Jersey, P. C. CurrentSince Aug 21, 2017 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 1, 2014 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 1, 2014 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Garden State Healthcare Associates, LLC Cardiovascular Disease CurrentSince Jun 25, 2025 Accepting new patients
E & a Medical Solutions LLC CurrentSince Aug 1, 2020 Accepting new patients
Sorin Medical PC Cardiovascular Disease CurrentSince Apr 1, 2020 Accepting new patients
Columbia Doctors of New Jersey, P. C. CurrentSince Aug 21, 2017 Accepting new patients
Cogent Healthcare of New Jersey, PC Past Accepting new patients
Yakov Levy MD PC Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

177 N Dean St
Ste 203
Englewood, NJ 07631
Phone (201) 503-0833

500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

1110 Pennsylvania Ave
Ste 7
Brooklyn, NY 11207
Phone (718) 498-1111

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

8718 Bay Pkwy
Fl 12
Brooklyn, NY 11214

8718 Bay Pkwy
Ste 1
Brooklyn, NY 11214

150 55th St
Fl 3
Brooklyn, NY 11220
Phone (630) 430-1580

111 Maltese Dr
Middletown, NY 10940

501 State Route 208
Monroe, NY 10950
Phone (347) 558-3413

601 W 163rd St
New York, NY 10032
Phone (212) 433-0700

575 W 161st St
New York, NY 10032
Phone (212) 444-8877

1865 Amsterdam Ave
New York, NY 10031
Phone (212) 491-0100

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387

51 E 125th St
Frnt 2
New York, NY 10035
Phone (646) 585-1515

133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400

630 W 168th St
New York, NY 10032
Phone (212) 305-1948

44 Sherman Ave
New York, NY 10040
Phone (212) 781-1057

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: philip.green.1@8181.direct.athenahealth.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1275675027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "BOX 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-342-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 FT WASHINGTN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323733",
            "telephone_number": "212-342-3616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8718 Bay Pkwy Fl 1-2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112145272",
            "country_code": "US",
            "telephone_number": "718-266-0900",
            "fax_number": "718-266-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "253211",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "253211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.