Active NPI
Anthony J Green, MD
- Psychiatry Physician
- Matawan, NJ
National Provider Identifier
1972677003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA06597900
- Practice address
- 1088 State Route 34
Matawan, NJ 07747-1948 - Phone
- (732) 290-1700
- Fax
- (732) 290-0040
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25MA06597900 | NJ | Primary |
Addresses
Primary practice location
1088 State Route 34
Matawan, NJ 07747-1948
Mailing address
1088 State Route 34
Matawan, NJ 07747-1948
Phone (732) 290-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000589 | NJ | Practitioner - Psychiatry | 7315111044 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- CPC Behavioral Healthcare Inc
Practice addresses (Care Compare)
1088 Hwy 34
Matawan, NJ 07747-1948
Phone (732) 290-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06597900 | NJ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPC Behavioral Healthcare, Inc | Current | Accepting new patients | |
| CPC Integrated Health, Inc. | Current | Accepting new patients |
Locations
10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220
22 Court St
Freehold, NJ 07728
Phone (732) 780-7387
1088 State Route 34
Matawan, NJ 07747
Phone (732) 290-1700
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Red Bank, NJ
- NPI 1366497356
NJ
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Matawan, NJ
- NPI 1912036120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972677003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 STATE ROUTE 34",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077471948",
"telephone_number": "732-290-1700",
"fax_number": "732-290-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 STATE ROUTE 34",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077471948",
"telephone_number": "732-290-1700",
"fax_number": "732-290-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA06597900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.