John L Greene, PH.D.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

25MS00016000 Issued in NJ

Practice address

82 Newark Pompton Tpke Ste 1
Riverdale, NJ 07457-1427

Phone

(347) 879-9494

NPI assigned

Jan 30, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Laboratory Medicine Diagnostics

  • Clinical Medical Laboratory
  • Riverdale, NJ
  • NPI 1649811589
  NPD Authorized official

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1740603430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070150031",
            "telephone_number": "347-879-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 NEWARK POMPTON TPKE STE 1",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571427",
            "telephone_number": "347-879-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "25MS00016000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PC",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "82 Newark Pompton Tpke Ste 1",
            "city": "Riverdale",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074571427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Ginsburg, M.D.
• Janelle Marie Giresi, DPT
• Karen Glick, ED.S.
• Isaak Gorelov
• Grace Counseling Ministries, Inc.
• Karen A Helton-Rhodes, DVM
• Thomas Herman, DPT
• Sarah Hicks, DPT
• Christine Buscaino Holzinger, MA,CCC-A
• Michele M Howe, D.O.

• Clinical Medical Laboratory in Riverdale, NJ
• Providers in Riverdale, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.