Adam S Green, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00915900 Issued in NJ

Practice address

467 Boulevard
Kenilworth, NJ 07033-1664

Phone

(908) 377-4095

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers New Jersey Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Boulevard Physical Therapy PC

  • Physical Therapist
  • Kenilworth, NJ
  • NPI 1427851567
  NPD Authorized official
• Synergy Physical Therapy & Sports Training

  • Physical Therapist
  • Cedar Knolls, NJ
  • NPI 1891877957
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1366466278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331664",
            "telephone_number": "908-377-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 BOULEVARD",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331664",
            "telephone_number": "908-377-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ADAM",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00915900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea J Frank, D O P C
• Jay Murray Gilden, DC
• Glenn W Koechling DDS
• Gracious Services Inc.
• Great Atlantic & Pacific Tea Company Inc
• Stuart Aaron Green, MD
• Joanna Guevara
• Thomas Patrick Haverty, M.D.
• Sin Ki Ho, RDN, CDN
• Innovative Foot and Ankle, P.a.

• Physical Therapist in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.