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ANDY GREEN MD PA
NPI 1083647788
Dermatology in Miami, FL

Active since July 08, 2006CLIA 10D1057935 · Certificate of Compliance
1380 NE MIAMI GARDENS DR, STE 270, MIAMI, FL 33179(305) 945-2877(305) 945-2878 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andy Green Md Pa NPPES

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

ANDY GREEN MD PA (NPI 1083647788) is a healthcare organization registered as a dermatology in Miami, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 11, 2026 and lists Andy Ray Green, President/owner, as its authorized official.

NPPES Registry Identity

NPI1083647788
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANDY GREEN MD PA
Location Address1380 NE MIAMI GARDENS DR, STE 270Miami, FL 33179-4721
Mailing Address1380 Ne Miami Gardens Dr, Ste 270Miami, FL 33179-4721 · (305) 945-2877 · Fax (305) 945-2878
Phone(305) 945-2877
Fax(305) 945-2878
Organization SubpartNo
Authorized OfficialAndy Ray GreenPresident/owner · (305) 945-2877
Enumeration DateJuly 8, 2006
Last NPPES UpdateSeptember 17, 2007
✔ NPI 1083647788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME86150
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1380 NE MIAMI GARDENS DR, Miami, FL 33179
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Other Identifiers 3

Medicare PINK7488FL
Medicare ID-Type Unspecified29163ZFL
Medicare UPINH92491FL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1057935

Andy R Green MD PA · North Miami Beach, FL
Active · expires Oct 11, 2026
CLIA Number10D1057935
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorDr. Andy R. Green
Laboratory Phone(305) 945-2877
Laboratory LocationAndy R Green MD PA1380 NE Miami Gardens Dr Ste 270, North Miami Beach, FL 33179
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

POLINA NOSEL MD,PA
Clinic/Center (Primary Care)
1380 NE MIAMI GARDENS DR, SUITE 275
MIAMI, FL 33179
Miami-Dade County (305) 945-8111
SUPREME MEDICAL CARE INC
Internal Medicine
1380 NE MIAMI GARDENS DR, SUITE 138
NORTH MIAMI BEACH, FL 33179
Miami-Dade County (305) 948-8900
DR. LARRY DAVID CAPP PHD
Psychologist (Clinical)
1380 NE MIAMI GARDENS DR, SUITE 260
NORTH MIAMI BEACH, FL 33179
Miami-Dade County (305) 945-2675
SKYLAKE MEDICAL ASSOCIATES PLLC
Nurse Practitioner
1380 NE MIAMI GARDENS DR, STE. 280
N. MIAMI BEACH, FL 33179
Miami-Dade County (818) 267-4606
BEZERRA DE MENEZES ACUPUNCTURE CLINIC, LLC
Acupuncturist
1380 NE MIAMI GARDENS DR, SUITE 274
MIAMI, FL 33179
Miami-Dade County (305) 206-4903
SALAH AMER MD PA
Internal Medicine (Cardiovascular Disease)
1380 NE MIAMI GARDENS DR, SUITE 140
NORTH MIAMI BEACH, FL 33179
Miami-Dade County (305) 948-3990
SVETLANA POLYAK FNP-BC
Nurse Practitioner (Family)
1380 NE MIAMI GARDENS DR, SUITE 285
MIAMI, FL 33179
Miami-Dade County (305) 944-8777
SARAH FLORANS
Social Worker (Clinical)
1380 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179
Miami-Dade County (718) 787-6771

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 Andy Green MD PA's NPI number?

The NPI number for Andy Green MD PA is 1083647788. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Andy Green MD PA located?

Andy Green MD PA is located at 1380 NE Miami Gardens Dr Ste 270, Miami, FL 33179. The listed phone number is (305) 945-2877.

What is Andy Green MD PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Andy Green MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1057935) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Andy Green MD PA accept?

Health plans from AvMed list Andy Green MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andy Green MD PA was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.