Jacqueline Marie Green, MS, RN, APN

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

26NJ00007600 Issued in NJ

Practice address

125 Paterson St
Clinical Academic Building Suite 6176
New Brunswick, NJ 08901-1962

Phone

(732) 235-6423

Fax

(732) 236-6530

NPI assigned

Oct 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

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.

• Umdnj-RWJ Medical Group

  • Health Service Clinic/Center
  • New Brunswick, NJ
  • NPI 1588927370
  Authorized official Same address or phone

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1578816138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "CLINICAL ACADEMIC BUILDING SUITE 6176",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-6423",
            "fax_number": "732-236-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "CLINICAL ACADEMIC BUILDING SUITE 6176",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-6423",
            "fax_number": "732-236-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "MS, RN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "NJ",
            "license": "26NJ00007600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Anne Grasso, R.D., C.D.E.
• Naivsha Graves, MD
• Nicole C Grayer, M.D.
• Nancy Greberis, RN
• Ashlee Green, MD
• Stuart N Green, MD
• Frank Louis Greenagel Jr., LCSW, LCADC, CJC
• Megan Ruth Greenberg
• Scott David Greenberg, D.C.
• Jessica Greene

• Clinical Nurse Specialist in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.