DR. KEVIN JAMES GREENER MD
NPI 1790312114
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
4422 3RD AVE, BRAKER BUILDING, 4TH FLOOR, ROOM 405, BRONX, NY 10457(718) 960-6240(718) 960-6125 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Kevin James Greener Md NPPES

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

DR. KEVIN JAMES GREENER MD (NPI 1790312114) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Corning Hospital, and is a graduate of Albany Medical College Of Union University (2020).

NPPES Registry Identity

NPI1790312114
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KEVIN JAMES GREENERCredential: MD
Location Address4422 3RD AVE, BRAKER BUILDING, 4TH FLOOR, ROOM 405Bronx, NY 10457-2545
Mailing Address4422 3rd Ave, Braker Building, 4th Floor, Room 405Bronx, NY 10457-2545 · (718) 960-6240 · Fax (718) 960-6125
Fax(718) 960-6125
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2020
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1790312114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4422 3RD AVE, Bronx, NY 10457

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin James Greener Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385166743
PECOS Enrollment IDI20250314003264, I20250325000024
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Troy Community Hospital

Critical Access Hospitals · Troy, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391305
Location275 Guthrie DriveTroy, PA 16947 · Bradford County
Emergency services

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Dermatology
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457

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 Kevin Greener's NPI number?

The NPI number for Kevin Greener is 1790312114. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Kevin Greener located?

Kevin Greener practices at 4422 3rd Ave Braker Building, 4th Floor, Room 405, Bronx, NY 10457. The listed phone number is (718) 960-6240.

What is Kevin Greener's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Greener enrolled in Medicare?

Yes. Kevin Greener is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kevin Greener affiliated with any hospitals?

According to CMS data, Kevin Greener is affiliated with Corning Hospital, Robert Packer Hospital and Troy Community Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Greener was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.