LONNIE I GREEN PA
NPI 1790856581
Physician Assistant in New Hyde Park, NY
About Lonnie I Green Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONNIE I GREEN PA (NPI 1790856581) is an individual physician assistant in New Hyde Park, New York, licensed in New York (010707-1) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lonnie I Green Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
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 Lonnie Green's NPI number?
The NPI number for Lonnie Green is 1790856581. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Lonnie Green located?
Lonnie Green practices at 27005 76th Ave Long Island Jewish Medical Center, New Hyde Park, NY 11040. The listed phone number is (718) 470-7000.
What is Lonnie Green's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Lonnie Green enrolled in Medicare?
Yes. Lonnie Green is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lonnie Green was last updated on October 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Lonnie I Green, PA · NPI 1790856581
Physician Assistant physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1790856581 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 010707-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27005 76TH AVE, LONG ISLAND JEWISH MEDICAL CENTER, New Hyde Park, NY 11040-1402
- **Phone:** (718) 470-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 30, 2008
- **Other identifiers:** Other 010707 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1790856581) · Data from the CMS NPPES public registry.