Active NPI
Camila Victoria Trinidad Green, MD
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 309998
- Practice address
- 506 6TH St
Brooklyn, NY 11215-3609 - Phone
- (718) 780-5040
- NPI assigned
- Sep 9, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 14587I | PR | |
| Emergency Medicine Physician | 207P00000X | 35032 | PR | |
| Emergency Medicine Physician | 207P00000X | 309998 | NY | Primary |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215-3609
Mailing address
506 6TH St
Brooklyn, NY 11215-3609
Phone (718) 780-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Puerto Rico School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309998 | NY | MD | Emergency Medicine Physician |
| 14587I | PR | MD | Emergency Medicine Physician |
| 35032 | PR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Emergency Medicine | Current | Accepting new patients |
| McLaren Hospital Group | Emergency Medicine | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| Ihp Mi Emergency Medicine PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
35700 Warren Rd
Westland, MI 48185
Phone (313) 828-5000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Garden City, MI
- NPI 1861147456
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1508313313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609",
"telephone_number": "718-780-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153609",
"telephone_number": "718-780-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINIDAD GREEN",
"first_name": "CAMILA",
"middle_name": "VICTORIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2022-03-28",
"certification_date": "2022-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "14587I",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "35032",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "309998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.
- 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.