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

Q: 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.

Q: 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.

Q: 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 2 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.

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: August 30, 2026.

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

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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

Phone(973) 722-0483

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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

JUSTINA LEE GUN LCSW

Social Worker (Clinical)