Organization Active NPI

Green Care Center LLC

  • Internal Medicine Physician
  • Elmhurst, NY
National Provider Identifier
1851260822
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Oct 30, 2025

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address green.care@greengroupus.com Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.