Individual provider Active NPI

Miriam Greene, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1679618904
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
171513 Issued in NY
Practice address
340 E 34TH St
Suite 1CD
New York, NY 10016-4978
Phone
(212) 725-3966
Fax
(212) 685-4316
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 171513 NY Primary

Addresses

Primary practice location

340 E 34TH St
Suite 1CD
New York, NY 10016-4978

Mailing address

340 E 34TH St
1CD
New York, NY 10016-4978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 7, 2026 through Jan 7, 2028

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

340 E 34TH St
New York, NY 10016-4978

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
52.73 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
75.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
171513NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CKM Medical PLLC PastSince Feb 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mgreene67311@northwell.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1679618904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 34TH ST",
            "address_2": "1CD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 34TH ST",
            "address_2": "SUITE 1CD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164978",
            "telephone_number": "212-725-3966",
            "fax_number": "212-685-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "171513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.