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MICHELE S GREEN MD
NPI 1689752404
Dermatology in New York, NY

Active since November 01, 2006Opted out of Medicare · through Sep 18, 2026
156 E 79TH ST APT 1B, SUITE 1B, NEW YORK, NY 10075(212) 535-3088 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michele S Green Md NPPES

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

MICHELE S GREEN MD (NPI 1689752404) is an individual dermatology provider in New York, New York, licensed in New York (191657) and active in the NPI registry since November 2006. She has opted out of Medicare through September 18, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689752404
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMICHELE S GREENCredential: MD
Location Address156 E 79TH ST APT 1B, SUITE 1BNew York, NY 10075-0570
Mailing Address156 E 79th St Apt 1b, Suite 1bNew York, NY 10075-0570 · (212) 535-3088
Phone(212) 535-3088
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 24, 2013
✔ NPI 1689752404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 191657
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
156 E 79TH ST APT 1B, New York, NY 10075
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Other Identifiers 2

Medicare UPING16123
Medicare ID-Type Unspecified228541

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michele S Green Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2018 through September 18, 2026.

Opt-Out Effective DateSeptember 18, 2018
Opt-Out In Effect ThroughSeptember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Michele Green's NPI number?

The NPI number for Michele Green is 1689752404. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Michele Green located?

Michele Green practices at 156 E 79th St Apt 1B Suite 1B, New York, NY 10075. The listed phone number is (212) 535-3088.

What is Michele Green's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michele Green enrolled in Medicare?

No. Michele Green has opted out of Medicare through September 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michele Green was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.