| Dr Michael D Green, MD | |
|
380 Kenwood St, Englewood, NJ 07631-5118 | |
| (201) 602-4444 | |
| Not Available |
| Full Name | Dr Michael D Green |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 380 Kenwood St, Englewood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447359054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA03795000 (New Jersey) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 120848-1 (New York) | Primary |
| Entity Name | Mercer Diagnostic Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841826567 PECOS PAC ID: 7113342825 Enrollment ID: O20200728004017 |
| Entity Name | Burlington Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124616297 PECOS PAC ID: 6901214204 Enrollment ID: O20210427001670 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael D Green, MD 380 Kenwood St, Englewood, NJ 07631-5118 Ph: (201) 602-4444 | Dr Michael D Green, MD 380 Kenwood St, Englewood, NJ 07631-5118 Ph: (201) 602-4444 |
Marc Herman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood Hosp & Med Ctr, Englewood, NJ 07631 Phone: 201-894-3440 Fax: 201-894-5244 | |
Mindy A Goldfischer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood Hospital & Med Ctr, Englewood, NJ 07631 Phone: 201-894-3400 Fax: 201-894-5244 | |
Stefanie Jacobs, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood Hosp & Med Ctr, Englewood, NJ 07631 Phone: 201-894-3400 Fax: 201-894-5244 | |
David M Dubin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-569-4472 Fax: 201-894-0152 | |
Christopher L Petti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 N Dean St, Englewood, NJ 07631 Phone: 201-568-4242 Fax: 201-568-1298 | |
Shari Naidrich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood Hosp & Med Ctr, Englewood, NJ 07631 Phone: 201-894-3400 Fax: 201-894-5244 | |
Dr. Ajay B. Nemade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 Engle Street, Radiology Department Attn: Jessica Matthews, Englewood, NJ 07631 Phone: 201-894-3840 |