Mr Jonathan Green, FNP is a
Nurse Practitioner - Family based in Allendale, New Jersey. Mr Jonathan Green is licensed to practice in New York (license number 339165) and his current practice location is
51 Berkshire Pl, Allendale, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(518) 729-6155.
NPI number for Mr Jonathan Green is 1144622382 and his current mailing address is 51 Berkshire Pl, Allendale, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144622382.
Provider's Profile
| Full Name | Mr Jonathan Green |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 51 Berkshire Pl, Allendale, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144622382
- Provider Enumeration Date: 09/18/2014
- Last Update Date: 06/02/2024
Medical Identifiers
Medical identifiers for Mr Jonathan Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144622382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 624738 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 26NJ01036100 (New Jersey) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 339165 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jonathan Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jonathan Green, FNP
51 Berkshire Pl,
Allendale, NJ 07401-2005
Ph: (518) 729-6155 | Mr Jonathan Green, FNP
51 Berkshire Pl,
Allendale, NJ 07401-2005
Ph: (518) 729-6155 |
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