Individual provider Active NPI

Matthew P Green, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Rockville Centre, NY
National Provider Identifier
1972997716
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
061634 Issued in NY
Practice address
24 Maple Ave Ste 6
Rockville Centre, NY 11570-4259
Phone
(516) 766-6755
NPI assigned
Mar 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 061634 NY Primary

Addresses

Primary practice location

24 Maple Ave Ste 6
Rockville Centre, NY 11570-4259

Mailing address

24 Maple Ave Ste 6
Rockville Centre, NY 11570-4259
Phone (516) 766-6755

Other practice location 1

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 672-8774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220319000042 FL Practitioner - Maxillofacial SurgeryPractitioner - Dentist 6305185059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
061634NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Strauss & Strauss D.M.D.S, PA Oral and Maxillofacial Surgery CurrentSince Dec 2, 2021 Accepting new patients

Locations

1601 SW Gatlin Blvd
Port St Lucie, FL 34953
Phone (772) 785-7327

821 SE Ocean Blvd
Ste A
Stuart, FL 34994
Phone (407) 283-6757

Organizations & group practices 1

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1972997716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAPLE AVE STE 6",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704259",
            "telephone_number": "516-766-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAPLE AVE STE 6",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704259",
            "telephone_number": "516-766-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-672-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "061634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.