GREEN STREET MEDICAL
NPI 1518406180
Clinic/Center - Health Service in Iselin, NJ

Active since February 15, 2017
898 GREEN ST, ISELIN, NJ 08830(732) 750-0506 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Green Street Medical NPPES

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

GREEN STREET MEDICAL (NPI 1518406180) is a healthcare organization registered as a health service in Iselin, New Jersey and active in the NPI registry since February 2017. The organization lists Thuong Ledinh, President, as its authorized official.

NPPES Registry Identity

NPI1518406180
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameGREEN STREET MEDICAL
Location Address898 GREEN STIselin, NJ 08830-2121
Mailing Address898 Green StIselin, NJ 08830-2121 · (732) 750-0506
Organization SubpartNo
Authorized OfficialThuong LedinhPresident · (732) 750-0506
Enumeration DateFebruary 15, 2017
✔ NPI 1518406180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in NJ · 25MA04182100
898 GREEN ST, Iselin, NJ 08830

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Street Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Green Street Medical, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1205936663
38 WATCHUNG AVENUE
Plainfield, NJ 07060
(908) 769-7881
✔ PECOS7.1 mi

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

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 Street Medical's NPI number?

The NPI number for Green Street Medical is 1518406180. It was assigned to this organization in the NPPES registry on February 15, 2017.

Where is Green Street Medical located?

Green Street Medical is located at 898 Green St, Iselin, NJ 08830. The listed phone number is (732) 750-0506.

What is Green Street Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Green Street Medical enrolled in Medicare?

Yes. Green Street Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Street Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Green Street Medical. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Green Street Medical was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.