NPIMap

Individual provider Active NPI

Mary Joyce Buliyat Green, M.D.

  • Family Medicine Physician
  • Palmyra, PA
National Provider Identifier
1306006747
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD443753 Issued in PA
Practice address
941 Park Dr
Palmyra, PA 17078-3445
Phone
(717) 838-6305
NPI assigned
Jun 10, 2008
Last updated
Dec 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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 MD443753 PA Primary

Addresses

Primary practice location

941 Park Dr
Palmyra, PA 17078-3445

Mailing address

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111013000103 PA Practitioner - Family Practice 6800068032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

121 N Nyes Rd
Suite a
Harrisburg, PA 17112-3247
Phone (717) 657-4040

121 N Nyes Rd a
Penn State Hershey Medical Group Nyes I Fam
Harrisburg, PA 17112-3247
Phone (717) 657-4040

121 N Nyes Rd C
Penn State Hershey Medical Group Nyes Road
Harrisburg, PA 17112-3247
Phone (717) 657-4045

500 Universidy Dr
Hershey, PA 17033-2360

845 Fishburn Rd
Hershey, PA 17033-2015
Phone (717) 531-8181

941 Park Dr
Palmyra, PA 17078-3445
Phone (717) 838-6305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 24, 2011 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Family Medicine CurrentSince Aug 24, 2011 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

941 Park Dr
Palmyra, PA 17078
Phone (717) 531-8814

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 11

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1306006747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 PARK DR",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783445",
            "telephone_number": "717-838-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MARY JOYCE",
        "middle_name": "BULIYAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD443753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmyra, PA

Sources for this page

Verify at the official NPI Registry.