Judith Green, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

272060 Issued in NY

Practice address

145 Franklin PL
Woodmere, NY 11598-1218

Phone

(516) 295-1200

NPI assigned

Jul 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678

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.

• Five Towns Pediatrics

  dba Pediatric Healthcare of LI

  • Pediatrics Physician
  • Woodmere, NY
  • NPI 1538247986
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1285921478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981218",
            "telephone_number": "516-295-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FRANKLIN PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981218",
            "telephone_number": "516-295-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "272060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Gordon, LCSW
• Esther Gottlieb
• Aviva Michelle Graber, OTR/L
• Nancy J. Greebel, OTR
• Abraham I Green, MD
• Estee Renee Greenberg, OTR
• Shari Greenberg, LMSW
• Stephanie Greenberg, SLP
• Tsippora Greenberger, MS OTR/L
• Steven Earl Greenstein, MD

• Pediatrics Physician in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.