Harold Green
Individual provider Active NPI Driver · Roseland, NJ
NPI 1821804063 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1821804063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- G73053156403842 (NJ)
- Practice address
- 35 Artho LN
Roseland, NJ 07068-1131 - Phone
- (973) 715-4294
- NPI assigned
- Dec 3, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G73053156403842 | NJ | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | G73053156403842 | NJ | Yes |
Addresses
Primary practice location
35 Artho LN
Roseland, NJ 07068-1131
Mailing address
35 Artho LN
Roseland, NJ 07068-1131
Phone (973) 715-4294
Other providers in Roseland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.