Mitchell Bruce Green, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2787 Issued in NY

Practice address

42 Broadway
Suite 1530
New York, NY 10004-1617

Phone

(212) 269-0300

Fax

(212) 269-4060

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Chiropractic and Sports Rehab

  dba Mitchell B Green DC DACRB

  • Rehabilitation Chiropractor
  • New York, NY
  • NPI 1538989405
  NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1871643171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BROADWAY",
            "address_2": "1530",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041617",
            "telephone_number": "212-269-0300",
            "fax_number": "212-269-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY",
            "address_2": "SUITE 1530",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041617",
            "telephone_number": "212-269-0300",
            "fax_number": "212-269-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MITCHELL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "2787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merry Lyn Green, ANP
• Michael David Green, MD, D.ABA
• Michele Green, PHYSICIAN ASSISTANT
• Michele S Green, MD
• Michelle Goldberg Green, M.D.
• Nancy Green, LMSW
• Nancy Green
• Nikeechee Green
• Pauline Green, LICENSE MASTER SW
• Peter H.R. Green, MD

• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.