Individual provider Active NPI

Caroline Ann Greene, NP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1821008145
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F303209 Issued in NY
Practice address
170 W 12TH St
St Vincents Hospital Dept of Community Medicine
New York, NY 10011-8202
Phone
(212) 604-2708
Fax
(212) 604-7627
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F303209 NY Primary

Addresses

Primary practice location

170 W 12TH St
St Vincents Hospital Dept of Community Medicine
New York, NY 10011-8202

Mailing address

425 E 61St St FL 11
Weill Cornell Medical College
New York, NY 10065-8722
Phone (212) 821-0710

Other identifiers 1

IdentifierTypeStateIssuer
02734150MedicaidNY

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
I20060304000001 NY Practitioner - Nurse Practitioner 3072529734 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F303209NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2010 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 12, 2024 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2010 Accepting new patients
Cornell University Medical College Past Accepting new patients

Locations

53 W 23rd St
New York, NY 10010
Phone (212) 746-7200

156 William St
New York, NY 10038
Phone (646) 962-4679

425 E 61st St
Fl 11
New York, NY 10065
Phone (212) 821-0858

1315 York Ave
New York, NY 10021
Phone (212) 746-5077

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Networks

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

Organizations & group practices 5

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1821008145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 61ST ST FL 11",
            "address_2": "WEILL CORNELL MEDICAL COLLEGE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658722",
            "telephone_number": "212-821-0710",
            "fax_number": "212-821-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 12TH ST",
            "address_2": "ST VINCENTS HOSPITAL DEPT OF COMMUNITY MEDICINE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118202",
            "telephone_number": "212-604-2708",
            "fax_number": "212-604-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "CAROLINE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F303209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02734150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.