YAAKOV SAMUEL GREEN MD
NPI 1124761770
Psychiatry & Neurology - Psychiatry in New York, NY

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment
1051 RIVERSIDE DR # 103, NEW YORK, NY 10032(646) 774-6302(256) 662-6919 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Aug 21, 2024, Apr 20, 2022 (3 updates tracked since 2022).

About Yaakov Samuel Green Md NPPES

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

YAAKOV SAMUEL GREEN MD (NPI 1124761770) is an individual psychiatry provider in New York, New York, licensed in New York (325659) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2022).

NPPES Registry Identity

NPI1124761770
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameYAAKOV SAMUEL GREENCredential: MD
Location Address1051 RIVERSIDE DR # 103New York, NY 10032-1007
Mailing Address1051 Riverside Dr # 103New York, NY 10032-1007
Fax(256) 662-6919
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2022
Enumeration DateApril 20, 2022
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1124761770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 325659
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1051 RIVERSIDE DR # 103, New York, NY 10032

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yaakov Samuel Green Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628576550
PECOS Enrollment IDI20260612003736
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Yaakov Green reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR # 103
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR # 103
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR # 103
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR # 103, COLUMBIA UNIV. PSYCHIATRY RESIDENCY TRAINING, NYSPI
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR # 103
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR # 103
NEW YORK, NY 10032
Psychiatry & Neurology (Psychiatry)
1051 RIVERSIDE DR # 103
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
1051 RIVERSIDE DR # 103
NEW YORK, NY 10032

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 Yaakov Green's NPI number?

The NPI number for Yaakov Green is 1124761770. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Yaakov Green located?

Yaakov Green practices at 1051 Riverside Dr # 103, New York, NY 10032. The listed phone number is (646) 774-6302.

What is Yaakov Green's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Yaakov Green enrolled in Medicare?

Yes. Yaakov Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Yaakov Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yaakov Green reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yaakov Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yaakov Green accept?

Health plans from Oscar Health list Yaakov Green 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 Yaakov Green was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.