AYODELE GREEN M.D.
NPI 1598922866
Psychiatry & Neurology - Child & Adolescent Psychiatry in Mountain Lakes, NJ

Active since May 22, 2008PECOS Enrolled
115 ROUTE 46 W BLDG F, MOUNTAIN LAKES, NJ 07046(973) 722-0483 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2023, Oct 11, 2023, Jul 15, 2023 (3 updates tracked since 2023).

About Ayodele Green M.d. NPPES

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

AYODELE GREEN M.D. (NPI 1598922866) is an individual child & adolescent psychiatry provider in Mountain Lakes, New Jersey, licensed in New Jersey (25MA10430000) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mountain Lakes.

NPPES Registry Identity

NPI1598922866
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameAYODELE GREENCredential: M.D.
Location Address115 ROUTE 46 W BLDG FMountain Lakes, NJ 07046-1668
Mailing AddressPo Box 282Mountain Lakes, NJ 07046-0282
Sole ProprietorYes
Enumeration DateMay 22, 2008
Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1598922866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NJ · 25MA10430000
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License 25MA10430000 (NJ)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 237047 (NY)
115 ROUTE 46 W BLDG F, Mountain Lakes, NJ 07046

Secondary Practice Location 1

Location 15 Crestview RdMountain Lakes, NJ 07046-1116 · Phone (973) 722-0483

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayodele Green M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Ayodele Green reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
801 AMSTERDAM AVE
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 186 clinicians in this Medicare group
Psychiatry
127 S BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Hospital Yonkers
  • 233 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 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.

Other Providers at the Same Location NPPES 8

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

Social Worker (Clinical)
115 ROUTE 46 W BLDG F
MOUNTAIN LAKES, NJ 07046
Clinic/Center
115 ROUTE 46 W BLDG F
MOUNTAIN LAKES, NJ 07046
Nurse Practitioner (Psychiatric/Mental Health)
115 ROUTE 46 W BLDG F
MOUNTAIN LAKES, NJ 07046
Psychologist (Counseling)
115 ROUTE 46 W BLDG F
MOUNTAIN LAKES, NJ 07046
Psychiatry & Neurology (Psychiatry)
115 ROUTE 46 W BLDG F
MOUNTAIN LAKES, NJ 07046
Counselor (Professional)
115 ROUTE 46 W BLDG F
MOUNTAIN LAKES, NJ 07046
Family Medicine
115 ROUTE 46 W BLDG F
MOUNTAIN LAKES, NJ 07046
Social Worker (Clinical)
115 ROUTE 46 W BLDG F
MOUNTAIN LAKES, NJ 07046

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 Ayodele Green's NPI number?

The NPI number for Ayodele Green is 1598922866. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Ayodele Green located?

Ayodele Green practices at 115 Route 46 W Bldg F, Mountain Lakes, NJ 07046. The listed phone number is (973) 722-0483.

What is Ayodele Green's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Ayodele Green enrolled in Medicare?

Yes. Ayodele Green is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ayodele Green's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ayodele Green reassigns Medicare benefits to 3 organizations: William F Ryan Community Health Center Inc (New York, NY), St. Joseph's Hospital & Medical Center (Yonkers, NY) and Grow Healthcare Group PA (Miami, FL). Each 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 Ayodele Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ayodele Green accept?

Health plans from Oscar Health list Ayodele 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 Ayodele Green was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.