Active NPI
Marianne Greene
- Physician Assistant
- Boston, MA
National Provider Identifier
1710706155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 55 Fruit Street
Boston, MA 02241-9095 - Phone
- (617) 732-5500
- NPI assigned
- Oct 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
55 Fruit Street
Boston, MA 02241-9095
Mailing address
1 Pace PLZ
New York, NY 10038-1502
Other practice location 1
1 Pace Plz
New York, NY 10038-1502
Phone (866) 722-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham and Women'S Hospital | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
Interoperability endpoints
- greene.marianne.bwh@direct.partners.masshiway.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Boston, MA
- NPI 1093885816
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1710706155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PACE PLZ",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419095",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [
{
"address_1": "1 Pace Plz",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100381502",
"country_code": "US",
"telephone_number": "866-722-3338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENE",
"first_name": "MARIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.