Active NPI
Paul Greene, M.D.
- Neurology Physician
- New Haven, CT
National Provider Identifier
1477620540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 64469
- Practice address
- 800 Howard Ave Ste Lower
New Haven, CT 06519 - Phone
- (203) 785-4085
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 158280-1 | NY | |
| Neurology Physician | 2084N0400X | 64469 | CT | Primary |
Addresses
Primary practice location
800 Howard Ave Ste Lower
New Haven, CT 06519
Mailing address
15 York St
New Haven, CT 06510-3221
Phone (203) 688-4242
Other practice location 1
800 Howard Ave Ste Lower
New Haven, CT 06519
Phone (203) 785-4085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02370276 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158280-1 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Neurology | Past | Accepting new patients |
| Trustees of Columbia University in the City of New York | Neurology | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Neurology Physician
- New York, NY
- NPI 1306899455
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Neurology
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1477620540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103221",
"telephone_number": "203-688-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOWARD AVE STE LOWER",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06519",
"telephone_number": "203-785-4085"
}
],
"practiceLocations": [
{
"address_1": "800 Howard Ave Ste Lower",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06519",
"country_code": "US",
"telephone_number": "203-785-4085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "158280-1",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "64469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02370276",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.