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JOHN N GREEN, M.D.,PA
NPI 1417079062
Internal Medicine - Gastroenterology in West Orange, NJ

Active since April 04, 2007
61 MAIN ST, SUITE B, WEST ORANGE, NJ 07052(973) 669-1111(973) 669-3535 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John N Green, M.d.,pa NPPES

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

JOHN N GREEN, M.D.,PA (NPI 1417079062) is a healthcare organization registered as a gastroenterology in West Orange, New Jersey and active in the NPI registry since April 2007. The organization lists John Nezzel Green, President, as its authorized official.

NPPES Registry Identity

NPI1417079062
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameJOHN N GREEN, M.D.,PA
Location Address61 MAIN ST, SUITE BWest Orange, NJ 07052-5311
Mailing Address61 Main St, Suite BWest Orange, NJ 07052-5311 · (973) 669-1111 · Fax (973) 669-3535
Phone(973) 669-1111
Fax(973) 669-3535
Organization SubpartYes
Authorized OfficialJohn Nezzel GreenPresident · (973) 669-1111
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 13, 2012
✔ NPI 1417079062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA40057
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
61 MAIN ST, West Orange, NJ 07052
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Other Identifiers 3

Medicare UPIND19241NJ
Medicare ID-Type Unspecified108556NJ · Group Provider Id
Medicare ID-Type Unspecified512575V86NJ · Rendering Prov Id

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

AMERICAN IMAGING CENTER OF WEST ORANGE LLC
Clinic/Center (Radiology)
61 MAIN ST
WEST ORANGE, NJ 07052
Essex County (973) 669-1989
WEST ORANGE RADIOLOGY, LLC
Clinic/Center (Radiology)
61 MAIN ST
WEST ORANGE, NJ 07052
Essex County (973) 506-0679
PLEASANTDALE AMBULATORY CARE, LLC
Clinic/Center (Ambulatory Surgical)
61 MAIN ST
WEST ORANGE, NJ 07052
Essex County (973) 324-2280
AMBULATORY ANESTHESIA ASSOCIATES
Anesthesiology
61 MAIN ST, D
WEST ORANGE, NJ 07052
Essex County (908) 653-9399

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 John N Green, M.D.,pa's NPI number?

The NPI number for John N Green, M.D.,pa is 1417079062. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is John N Green, M.D.,pa located?

John N Green, M.D.,pa is located at 61 Main St Suite B, West Orange, NJ 07052. The listed phone number is (973) 669-1111.

What is John N Green, M.D.,pa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for John N Green, M.D.,pa was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.