Dr Rodney a Green MD Facs LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA09515100 Issued in NJ

Legal business name

DR RODNEY A GREEN MD FACS LLC

Practice address

539 Marc Dr
Lakewood, NJ 08701-5113

Phone

(732) 730-7333

Fax

(732) 730-7332

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rodney A Green, MD

Title

Owner

Phone

(732) 730-7333

Specialties & licenses 1

Addresses

Other names 1

• ERA Care Doing business as

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1962867499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 MARC DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015113",
            "telephone_number": "732-730-7333",
            "fax_number": "732-730-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 MARC DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015113",
            "telephone_number": "732-730-7333",
            "fax_number": "732-730-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RODNEY A GREEN MD FACS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-730-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09515100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERA Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.