Individual provider Active NPI

Kamahl Jemel McKay Green, LLC

  • Non-emergency Medical Transport (VAN)
  • Rochester, NY
National Provider Identifier
1891542072
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
789296893 Issued in NY
Practice address
311 Linden St Apt 2
Rochester, NY 14620-2349
Phone
(585) 514-3333
NPI assigned
May 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 789296893 NY Primary

Addresses

Primary practice location

311 Linden St Apt 2
Rochester, NY 14620-2349

Mailing address

311 Linden St Apt 2
Rochester, NY 14620-2349
Phone (585) 514-3333

Other names 1

  • Kamahl Jemel McKay Green Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
789296893NYMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1891542072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LINDEN ST APT 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202349",
            "telephone_number": "585-514-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LINDEN ST APT 2",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146202349",
            "telephone_number": "585-514-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "KAMAHL",
        "middle_name": "JEMEL MCKAY",
        "credential": "LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "789296893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMAHL",
            "last_name": "GREEN",
            "middle_name": "JEMEL MCKAY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.