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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSHUA GREEN
NPI 1720775117
Podiatrist - Primary Podiatric Medicine in Wallingford, CT

Active since April 18, 2023PECOS Enrolled
850 N MAIN STREET EXT STE 2A2, WALLINGFORD, CT 06492(203) 626-5581 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua Green NPPES

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

JOSHUA GREEN (NPI 1720775117) is an individual primary podiatric medicine provider in Wallingford, Connecticut, licensed in Connecticut (001203) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1720775117
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameJOSHUA GREEN
Location Address850 N MAIN STREET EXT STE 2A2Wallingford, CT 06492-2483
Mailing Address850 N Main Street Ext Ste 2a2Wallingford, CT 06492-2483 · (203) 626-5581
Phone(203) 626-5581
Sole ProprietorNo
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2023
Enumeration DateApril 18, 2023
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1720775117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in CT · 001203
850 N MAIN STREET EXT STE 2A2, Wallingford, CT 06492
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID345719803
PECOS Enrollment IDI20260514001837
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 6

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

CONNECTICUT PODIATRY PARTNERS, PLLC
Podiatrist
850 N MAIN STREET EXT STE 2A2
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 626-5581
DERMATOLOGY PARTNERS, PC
Dermatology
850 N MAIN STREET EXT STE 2A2
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 626-5581
DR. MARVELA GRATIA HERMANUS DPM
Podiatrist
850 N MAIN STREET EXT STE 2A2
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 626-5581
CONNECTICUT OPTOMETRY PARTNERS, PLLC
Optometrist
850 N MAIN STREET EXT STE 2A2
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 626-5581
CONNECTICUT AUDIOLOGY PARTNERS, PLLC
Audiologist-Hearing Aid Fitter
850 N MAIN STREET EXT STE 2A2
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 626-5581
DENTAL PARTNERS
Clinic/Center (Dental)
850 N MAIN STREET EXT STE 2A2
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 626-5581

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 Joshua Green's NPI number?

The NPI number for Joshua Green is 1720775117. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Joshua Green located?

Joshua Green practices at 850 N Main Street Ext Ste 2a2, Wallingford, CT 06492. The listed phone number is (203) 626-5581.

What is Joshua Green's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Joshua Green enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joshua Green was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.