Jeffrey Harris Green, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA47549 Issued in NJ

Practice address

170 Cold Soil Road
Cedar Glen Professional Association
Princeton, NJ 08540-4202

Phone

(609) 896-1122

NPI assigned

Mar 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2002 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558499137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 COLD SOIL RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404202",
            "telephone_number": "609-896-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COLD SOIL ROAD",
            "address_2": "CEDAR GLEN PROFESSIONAL ASSOCIATION",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085404202",
            "telephone_number": "609-896-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JEFFREY",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA47549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE NUMBER",
            "identifier": "MA47549",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auralice Graft, LSW
• Peggy A Grauwiler, PHD, LCSW
• Ryan Gray, PT, DPT
• Sonja Gray, M.D.
• Josee Graybill, LCSW
• Deborah K Greenberg, PHD
• Eliot Jeffrey Greenberg, M.D.
• Jeremy Greenberg
• Leslie M Greenberg, MD
• Leslie Robin Greenberg, MD

• Psychiatry Physician in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Psychiatry Physician in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.