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GREEN PODIATRY LLC
NPI 1053755082
Podiatrist in Lumberton, NJ

Active since April 21, 2013
111 MAPLE GROVE BLVD, LUMBERTON, NJ 08048(609) 217-8905 Get Directions Write a Review

NPPES record last updated: April 21, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Green Podiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN PODIATRY LLC (NPI 1053755082) is a healthcare organization registered as a podiatrist in Lumberton, New Jersey and active in the NPI registry since April 2013. The organization lists William J Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1053755082
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameGREEN PODIATRY LLC
Location Address111 MAPLE GROVE BLVDLumberton, NJ 08048-4617
Mailing Address111 Maple Grove BlvdLumberton, NJ 08048-4617
Phone(609) 217-8905
Organization SubpartNo
Authorized OfficialWilliam J GreenOwner · (609) 217-8905
Enumeration DateApril 21, 2013
✔ NPI 1053755082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00214300
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
111 MAPLE GROVE BLVD, Lumberton, NJ 08048
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Other Identifiers 6

Other1094025United Healthcare
Other1725652Cigna
Medicaid5486904NJ
OtherP3800567Oxford
Medicare PINGR60668
Medicare UPINU33493NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Podiatry LLC's NPI number?

The NPI number for Green Podiatry LLC is 1053755082. It was assigned to this organization in the NPPES registry on April 21, 2013.

Where is Green Podiatry LLC located?

Green Podiatry LLC is located at 111 Maple Grove Blvd, Lumberton, NJ 08048. The listed phone number is (609) 217-8905.

What is Green Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Green Podiatry LLC was last updated on April 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.