CARLY JESSICA GREENE
NPI 1841728482
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Q: What is Carly Greene's NPI number?

The NPI number for Carly Greene is 1841728482. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Q: What is Carly Greene's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Greene was last updated on December 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2017PECOS Enrolled

114 SQUIRE HALL, BUFFALO, NY 14214(716) 829-3717(716) 829-3895 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2017, May 26, 2017 (2 updates tracked since 2017).

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About Carly Jessica Greene NPPES

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

CARLY JESSICA GREENE (NPI 1841728482) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841728482

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCARLY JESSICA GREENE

Location Address114 SQUIRE HALLBuffalo, NY 14214

Mailing Address114 Squire HallBuffalo, NY 14214 · (716) 829-3717 · Fax (716) 829-3895

Phone(716) 829-3717

Fax(716) 829-3895

Sole ProprietorNo

Enumeration DateMay 26, 2017

Last NPPES UpdateDecember 15, 20172 updates tracked since enumeration

✔ NPI 1841728482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

114 SQUIRE HALL, Buffalo, NY 14214

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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)

Carly Jessica Greene 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.

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