Active NPI
Green Care Center LLC
- Internal Medicine Physician
- Elmhurst, NY
National Provider Identifier
1851260822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GREEN CARE CENTER LLC
- Practice address
- 4112 77TH St
Elmhurst, NY 11373-1996 - Phone
- (718) 873-6893
- NPI assigned
- Oct 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nawshin Jamil, DO
- Title
- Medical Director
- Phone
- (718) 873-6893
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
4112 77TH St
Elmhurst, NY 11373-1996
Mailing address
4112 77TH St
Elmhurst, NY 11373-1996
Phone (718) 873-6893
Other names 1
- Green Care Health Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | green.care@greengroupus.com | Direct |
National Provider Directory
National Provider DirectoryLocations
4112 77th St
Elmhurst, NY 11373
Phone (646) 287-9406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761782400000",
"number": "1851260822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 77TH ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731996",
"telephone_number": "718-873-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 77TH ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113731996",
"telephone_number": "718-873-6893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A",
"authorized_official_last_name": "JAMIL",
"authorized_official_first_name": "NAWSHIN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-873-6893",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "green.care@greengroupus.com",
"affiliation": "N",
"endpointDescription": "send email to green care mail mox",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4112 77th St",
"city": "Elmhurst",
"state": "NY",
"country_code": "US",
"postal_code": "113731996",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Green Care Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.