Tiffiny Shantay Green, APN is a medicare enrolled "Nurse Practitioner" in Beverly, New Jersey. Her current practice location is
417 Warren St Unit 373, Beverly, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 227-1970.
Tiffiny Shantay Green is licensed to practice in New Jersey (license number 26NJ00685600) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942622915.
Provider's Profile
| Full Name | Tiffiny Shantay Green |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 417 Warren St Unit 373, Beverly, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tiffiny Shantay Green attended and graduated from in
NPI Data:
- NPI Number: 1942622915
- Provider Enumeration Date: 01/10/2014
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tiffiny Shantay Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942622915 | NPI | - | NPPES |
| 0543934 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 26NR15665200 (New Jersey) | Secondary |
| 363L00000X | Nurse Practitioner | 26NJ00685600 (New Jersey) | 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. Tiffiny Shantay Green is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tiffiny Shantay Green, APN
417 Warren St Unit 373,
Beverly, NJ 08010-1100
Ph: () - | Tiffiny Shantay Green, APN
417 Warren St Unit 373,
Beverly, NJ 08010-1100
Ph: (609) 227-1970 |
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