Organization Active NPI

Greene Horizons

  • Substance Abuse Rehabilitation Facility
  • Edison, NJ
National Provider Identifier
1588260723
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GREENE HORIZONS
Practice address
7 Barlow Rd
Edison, NJ 08817-3022
Phone
(732) 535-7343
Fax
(732) 503-8962
NPI assigned
Dec 10, 2020
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
David Greene, LCSWNPI 1568072619
Title
Manager
Phone
(917) 936-6288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

7 Barlow Rd
Edison, NJ 08817-3022

Mailing address

7 Ely PL
Edison, NJ 08817-3005
Phone (917) 936-6288

Other practice location 1

27 S 5th Ave
Highland Park, NJ 08904-2604
Phone (917) 936-6288

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL greenehorizons.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220215001160 NJ Part B Supplier - Clinic/Group Practice 3678966603 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1588260723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ELY PL",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173005",
            "telephone_number": "917-936-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BARLOW RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173022",
            "telephone_number": "732-535-7343",
            "fax_number": "732-503-8962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 S 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "NJ",
            "postal_code": "089042604",
            "country_code": "US",
            "telephone_number": "917-936-6288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENE HORIZONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-936-6288",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "greenehorizons.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7 Barlow Rd",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088173022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.