Active NPI
Carolyn La-Verne Greene, CNM
- Midwife
- Plainfield, NJ
National Provider Identifier
1396956017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 25ME00002300
- Practice address
- 1700 Myrtle Ave
Plainfield, NJ 07063-1000 - Phone
- (190) 875-3640
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 25ME00002300 | NJ | Primary |
Addresses
Primary practice location
1700 Myrtle Ave
Plainfield, NJ 07063-1000
Mailing address
71 Kenwood PL
East Orange, NJ 07018-1122
Phone (973) 675-1734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25ME00002300 | NJ | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396956017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 KENWOOD PL",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070181122",
"telephone_number": "973-675-1734",
"fax_number": "973-675-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 MYRTLE AVE",
"city": "PLAINFIELD",
"state": "NJ",
"postal_code": "070631000",
"telephone_number": "190-875-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "CAROLYN",
"middle_name": "LA-VERNE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NJ",
"license": "25ME00002300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.