Green Oak Professional Health Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

GREEN OAK PROFESSIONAL HEALTH SERVICES

Practice address

120 Millburn Ave Ste 201
Millburn, NJ 07041-1935

Phone

(973) 392-0217

NPI assigned

Aug 5, 2019

Organization subpart

No

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

Authorized official

Name

Kazeem Alao Olajide, APN-C

Title

President

Phone

(973) 392-0217

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judd Paul Davis, DC

  • Chiropractor
  • Orlando, FL
  • NPI 1174520266
  NPD (past)

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1649825944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S 12TH ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MILLBURN AVE STE 201",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411935",
            "telephone_number": "973-392-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN OAK PROFESSIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "OLAJIDE",
        "authorized_official_first_name": "KAZEEM",
        "authorized_official_middle_name": "ALAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-392-0217",
        "authorized_official_credential": "APN-C"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther S Goldman, MSW
• Marc Jeffery Goldman, DDS
• Cheryl J Goren Robins, DDS
• Sumeet Goswami, MD
• Timothy Dennis Gray
• Daniel P Greenfield, MD, MPH, MS
• Donald A Greenfield, M.D.
• Grossman Psychotherapy, LLC
• Marnie Grossman, LCSW
• Laurence Gruenwald, MD

• Adult Mental Health Clinic/Center in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Adult Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.