Individual provider Active NPI

Nicholas Lee Green, MD

  • Anesthesiology Physician
  • Greenvale, NY
National Provider Identifier
1275876229
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
297140 Issued in NY
Practice address
2200 Northern Blvd Ste 118
Greenvale, NY 11548-1220
Phone
(516) 563-7910
NPI assigned
Mar 28, 2013
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 297140 NY Primary

Addresses

Primary practice location

2200 Northern Blvd Ste 118
Greenvale, NY 11548-1220

Mailing address

2200 Northern Blvd Ste 118
Greenvale, NY 11548-1220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190516001883 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 8921345539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000

2200 Northern Blvd
Greenvale, NY 11548-1219
Phone (516) 325-7310

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Pain Medicine CurrentSince Jun 1, 2019 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jun 1, 2019 Accepting new patients
St. Francis Cardiac Prevention Services PC CurrentSince Jan 19, 2020 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Aug 15, 2025 Accepting new patients

Locations

2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 325-7310

2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910

2200 Northern Blvd
Ste 120
Greenvale, NY 11548
Phone (631) 465-6431

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

Networks

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

Interoperability endpoints

  • Direct secure messaging: ngreen117146@direct-chsli.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1275876229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 118",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 118",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481220",
            "telephone_number": "516-563-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "NICHOLAS",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "297140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

Verify at the official NPI Registry.