NPIMap

Individual provider Active NPI

Jennifer Green

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1285210880
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
161185 Issued in FL
Practice address
8932 SW 97TH Ave
Miami, FL 33176-1936
Phone
(305) 270-3400
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 161185 FL Primary

Addresses

Primary practice location

8932 SW 97TH Ave
Miami, FL 33176-1936

Mailing address

8932 SW 97TH Ave
Miami, FL 33176-1936
Phone (305) 270-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806002027 FL Practitioner - Family Practice 6608313895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

8932 SW 97TH Ave
Uhealth at Kendall
Miami, FL 33176-1936
Phone (305) 243-3564

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161185FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jul 1, 2024 Accepting new patients
University of Miami CurrentSince Jul 1, 2024 Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1009 NW 5th Ave
Miami, FL 33136
Phone (305) 577-0093

1801 NW 9th Ave
Ste 470
Miami, FL 33136
Phone (305) 243-2848

8932 SW 97th Ave
Ste G
Miami, FL 33176
Phone (305) 243-1615

8932 SW 97th Ave
Ste F
Miami, FL 33176
Phone (305) 689-1352

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

8932 SW 97th Ave
Miami, FL 33176
Phone (305) 270-3485

Interoperability endpoints

  • Direct secure messaging: jgreen89331@direct.med.miami.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1285210880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8932 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761936",
            "telephone_number": "305-270-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8932 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761936",
            "telephone_number": "305-270-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "161185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.