Sandra Rose Green, MEDICAL TRANSPORT

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

G73056897951662 Issued in NJ

Practice address

200 Spring Valley Ave
Hackensack, NJ 07601-2944

Phone

(201) 656-2350

Fax

(201) 656-1719

NPI assigned

Sep 19, 2019

Last updated

Sep 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alana Med Invalid Coach LLC

  dba Alana Me Invalid Coach LLC

  • Non-emergency Medical Transport (VAN)
  • Hackensack, NJ
  • NPI 1639729783
  NPD Authorized official
• Alana Med Invalid Coach

  • Non-emergency Medical Transport (VAN)
  • Jersey City, NJ
  • NPI 1285858167
  Authorized official Same address or phone

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1649820788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SPRING VALLEY AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012944",
            "telephone_number": "201-656-2350",
            "fax_number": "201-656-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRING VALLEY AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012944",
            "telephone_number": "201-656-2350",
            "fax_number": "201-656-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SANDRA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MEDICAL TRANSPORT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NJ",
            "license": "G73056897951662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450406503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Graham, P.T.
• Anthony Grand, PA-C
• Mary T Granholm, RN MSN APN
• Luis C Grau, MD
• Richard Yackshaw Greco, D.O.
• Annie Greenberg, PT
• Sabrina Greenfield
• Bob Greenwald, M.D.
• Galina Grigoryan, MD
• Michael L. Gross, M.D.

• Emergency Medical Services (Emergency Medicine) Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Emergency Medical Services (Emergency Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.