Individual provider Active NPI

Sarah Marie Green

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1710408570
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341846 Issued in NY
Practice address
45 Reade PL
Poughkeepsie, NY 12601
Phone
(845) 483-6001
NPI assigned
Jul 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341846 NY Primary

Addresses

Primary practice location

45 Reade PL
Poughkeepsie, NY 12601

Mailing address

45 Reade PL FL 2
Poughkeepsie, NY 12601-3947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000816 NY Practitioner - Nurse Practitioner 8527333988 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
341846NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RLD Medical Services, PC CurrentSince Aug 1, 2020 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Mar 18, 2024 Accepting new patients
Forest Hills Dermatology Group PLLC CurrentSince Aug 1, 2020 Accepting new patients
Boston Children'S Health Physicians, LLP CurrentSince Mar 18, 2024 Accepting new patients

Locations

428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141

14227 Franklin Ave
Flushing, NY 11355
Phone (516) 205-3663

34 Route 403
Garrison, NY 10524
Phone (845) 424-4444

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

3206 US Route 9W
#A
New Windsor, NY 12553
Phone (845) 561-5227

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

45 Reade Pl
Fl 1
Poughkeepsie, NY 12601
Phone (845) 431-5645

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

400 Columbus Ave
Ste 200
Valhalla, NY 10595
Phone (917) 698-1827

45 S Route 9W
Ste 41
West Haverstraw, NY 10993
Phone (845) 428-9006

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1498953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1710408570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 READE PL FL 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-483-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-02",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.