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DR. JERRY A. GREEN M.D.
NPI 1497734347
Specialist in Danbury, CT

Active since January 10, 2006
67 AUNT HACK RD, DANBURY, CT 06811(203) 798-6566(203) 790-5883 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry A. Green M.d. NPPES

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

DR. JERRY A. GREEN M.D. (NPI 1497734347) is an individual specialist in Danbury, Connecticut, licensed in Connecticut (023599) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1497734347
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JERRY A. GREENCredential: M.D.
Location Address67 AUNT HACK RDDanbury, CT 06811-2720
Mailing Address67 Aunt Hack RdDanbury, CT 06811-2720 · (203) 798-6566 · Fax (203) 790-5883
Phone(203) 798-6566
Fax(203) 790-5883
Sole ProprietorYes
Enumeration DateJanuary 10, 2006
Last NPPES UpdateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1497734347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CT · 023599
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
67 AUNT HACK RD, Danbury, CT 06811
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Other Identifiers 1

Medicaid001235993CT

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 Jerry Green's NPI number?

The NPI number for Jerry Green is 1497734347. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Jerry Green located?

Jerry Green practices at 67 Aunt Hack Rd, Danbury, CT 06811. The listed phone number is (203) 798-6566.

What is Jerry Green's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jerry Green was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.