Nicholas Lee Green, MD
Individual provider Active NPI Anesthesiology Physician · Greenvale, NY
NPI 1275876229 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1275876229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 297140 (NY)
- Practice address
- 2200 Northern Blvd Ste 118
Greenvale, NY 11548-1220 - Phone
- (516) 563-7910
- NPI assigned
- Mar 28, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Icahn School of Medicine at Mount Sinai
CHS Physician Partners PC
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
- Mount Sinai South Nassau
- St Francis Hospital - the Heart Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190516001883 | NY | Practitioner - Pain Management |
8921345539 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297140 | NY | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current |
Accepting new patients | |
| CHS Physician Partners, PC | Pain Medicine | Current |
Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Anesthesiology | Current |
Accepting new patients |
Locations
2200 Northern Blvd
Greenvale, NY 11548
Phone (516) 482-0080
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 H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ngreen117146@direct-chsli.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 297140 | NY | Yes |
Addresses
Primary practice location
2200 Northern Blvd Ste 118
Greenvale, NY 11548-1220
Mailing address
2200 Northern Blvd Ste 118
Greenvale, NY 11548-1220
Other providers in Greenvale, NY
- Gaia Midwives PLLC
- Julia Giuga
- GLM Pharmacy
- Robert H Gotkin
- Greco Physical Therapy & Sports Performance, PLLC
- Hilary Anne Greenblatt
- Greenvale Chemists and Surgical Supply Co
- Greenvale Medical Services PC
- Aziz Griess
- Mehak Gupta
All providers in Greenvale, NY · Anesthesiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.