Donald H Green MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MA03186600 Issued in NJ

Legal business name

DONALD H GREEN MD PA

Practice address

925 Clifton Avenue
Suite 207
Clifton, NJ 07013-2724

Phone

(973) 773-9882

Fax

(973) 773-9884

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald Henry Green, MDNPI 1760573125

Title

President

Phone

(973) 773-9882

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Henry Green, MD, PHD

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1760573125
  Authorized official Same address or phone

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760573208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVENUE",
            "address_2": "SUITE 207",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-773-9882",
            "fax_number": "973-773-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CLIFTON AVENUE",
            "address_2": "SUITE 207",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132724",
            "telephone_number": "973-773-9882",
            "fax_number": "973-773-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD H GREEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-773-9882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA03186600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTHCARE",
            "identifier": "950921",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST OPTION",
            "identifier": "0K0250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "36089",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5356498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0097294",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anthony Dominguez
• Jessica Dominguez, PA-C
• Brian Donovan, DC
• Doorways Outreach
• Jennifer Dour, DC
• Devin Douvier
• Dr D Physical Therapy LLC

• Ophthalmology Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.