Jason Green DO PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OS 88871 Issued in FL

Legal business name

JASON GREEN DO PA

Doing business as

Green Dermatology & Cosmetic Center

Practice address

260 SW Natura Ave
Suite 101
Deerfield Beach, FL 33441-3026

Phone

(954) 481-0650

Fax

(954) 481-0651

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Green, D.O.NPI 1427167261

Title

Physician/Owner

Phone

(954) 481-0650

Specialties & licenses 1

Addresses

Other names 1

• Green Dermatology & Cosmetic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Jason Green, DO

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1427167261
  Medicare reassignment NPD Authorized official
• Rachel A Schleichert, MD

  • MOHS-Micrographic Surgery Physician
  • Towson, MD
  • NPI 1679708416
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1649726316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SW NATURA AVE",
            "address_2": "SUITE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413026",
            "telephone_number": "954-481-0650",
            "fax_number": "954-481-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW NATURA AVE",
            "address_2": "SUITE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413026",
            "telephone_number": "954-481-0650",
            "fax_number": "954-481-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON GREEN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-481-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "OS 88871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Dermatology & Cosmetic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elyn Janes
• Janet Goldstein DC
• Agnieszka Janusz
• Alejandra Jaramillo
• Carlos Andres Jaramillo
• Javier M Zawadzky D.M.D, PA (Life Dental Care)
• Jay Seidel DPM PA Inc
• Wisly Jean Baptiste
• Planise Jean Louis
• Kathia Jean Pierre

• Medical Specialty Clinic/Center in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.