Active NPI
Robert J Greene, MD
- Surgery Physician
- New Bedford, MA
National Provider Identifier
1598710667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25407
- Practice address
- 49 Hawthorn St
New Bedford, MA 02740 - Phone
- (508) 992-3838
- Fax
- (508) 993-9377
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25407 | MA | Primary |
Addresses
Primary practice location
49 Hawthorn St
New Bedford, MA 02740
Mailing address
49 Hawthorn St
New Bedford, MA 02740
Phone (508) 992-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0135062 | Medicaid | MA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1598710667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 HAWTHORN ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02740",
"telephone_number": "508-992-3838",
"fax_number": "508-993-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 HAWTHORN ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02740",
"telephone_number": "508-992-3838",
"fax_number": "508-993-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "25407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0135062",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Bedford, MA
- Greater New Bedford Community Health Center, Inc.
- Greater New Bedford Physical Therapy & Sports Rehabilitation Inc.
- Greater New Bedford Physical Therapy and Sports Rehabilitation Inc.
- Alison Greco
- Cheryl A Greene, M.A.
- Justina Marie Griffin
- Deborah Faith Dymphna Grinnell, RN
- Brian F Groden, MD
- Growth in Health Inc
- Christian Grygent, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.