Active NPI
Michael D. Green, MD
- Diagnostic Radiology Physician
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 120848-1
- Practice address
- 380 Kenwood St
Englewood, NJ 07631-5118 - Phone
- (201) 602-4444
- NPI assigned
- Sep 21, 2006
- Last updated
- Aug 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA03795000 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 120848-1 | NY | Primary |
Addresses
Primary practice location
380 Kenwood St
Englewood, NJ 07631-5118
Mailing address
380 Kenwood St
Englewood, NJ 07631-5118
Phone (201) 602-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03795000 | NJ | MD | Diagnostic Radiology Physician |
| 120848-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burlington Diagnostic Imaging LLC | Multi-Specialty | Current | Accepting new patients |
| Progressive Diagnostic Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Adirondack Diagnostic Imaging Inc. | Multi-Specialty | Current | Accepting new patients |
| Mercer Diagnostic Imaging, LLC | Multi-Specialty | Current | Accepting new patients |
| Open MRI of Naples, Inc. | Multi-Specialty | Past | Accepting new patients |
| Adirondack Diagnostic Imaging of Albany | Multi-Specialty | Past | Accepting new patients |
| Capital Region Open MRI, Inc | Multi-Specialty | Past | Accepting new patients |
| Hudson MRI PA | Multi-Specialty | Past | Accepting new patients |
| The New Jersey Imaging Network, LLC | Multi-Specialty | Past | Accepting new patients |
Locations
2800 Route 130 N
Ste 202
Cinnaminson, NJ 08077
Phone (856) 210-7666
44 State Rt 23
Riverdale, NJ 07457
Phone (973) 839-5004
1245 Whitehorse Mercerville Rd
Ste 403
Trenton, NJ 08619
Phone (609) 581-2727
3 Emma Ln
Clifton Park, NY 12065
Phone (518) 278-4334
632 Plank Rd
Ste 103
Clifton Park, NY 12065
Phone (518) 414-5706
Organizations & group practices 9
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.
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- Diagnostic Radiology Physician
- Hamilton, NJ
- NPI 1841826567
Multi-Specialty
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Clifton Park, NY
- NPI 1619983426
Multi-Specialty
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Albany, NY
- NPI 1235145053
Multi-Specialty
-
- Mammography Clinic/Center
- Cinnaminson, NJ
- NPI 1124616297
Multi-Specialty
-
dba Progressive Diagnostic Imaging
- Clinic/Center
- Riverdale, NJ
- NPI 1134354210
Diagnostic Radiology
-
dba DRA of Morristown at Cedar Knolls
- Radiology Clinic/Center
- Cedar Knolls, NJ
- NPI 1629327887
Multi-Specialty
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Albany, NY
- NPI 1306157318
Multi-Specialty
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Naples, FL
- NPI 1033224027
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1447359054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 KENWOOD ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076315118",
"telephone_number": "201-602-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 KENWOOD ST",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076315118",
"telephone_number": "201-602-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MICHAEL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA03795000",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "120848-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.