Individual provider Active NPI

Nia Greene

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1962381350
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F357683-01 Issued in NY
Practice address
835 Herkimer St
Brooklyn, NY 11233-3031
Phone
(718) 221-2600
NPI assigned
Aug 29, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F357683-01 NY Primary

Addresses

Primary practice location

835 Herkimer St
Brooklyn, NY 11233-3031

Mailing address

199 Delaware Ave
Freeport, NY 11520-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922002433 NY Practitioner - Nurse Practitioner 1850895830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lagrangeville Medical PCGroup PAC ID 8527440148, 24 clinicians

Practice addresses (Care Compare)

71 Franklin Ave
Franklin SQ, NY 11010-2523
Phone (845) 738-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F357683-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Jan 14, 2026 Accepting new patients
Parkway Preventive Medical Care PLLC CurrentSince Aug 19, 2025 Accepting new patients
JDS Medical Services PC CurrentSince Dec 9, 2025 Accepting new patients

Locations

831 Bedford Ave
Brooklyn, NY 11205

835 Herkimer St
Brooklyn, NY 11233
Phone (718) 221-2600

4303 14th Ave
Brooklyn, NY 11219
Phone (718) 436-7800

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1962381350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 DELAWARE AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 HERKIMER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333031",
            "telephone_number": "718-221-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "NIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F357683-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.