Tiffiny Shantay Green, APN - Medicare Nurse Practitioner in Beverly, NJ

  1. Home
  2. Nurse Practitioner
  3. NJ
  4. Beverly
Tiffiny Shantay Green, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Beverly, New Jersey. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Diamond Valley Behavioral Llc, Mind Your Mind and her current practice location is 417 Warren St Unit 373, Beverly, New Jersey. You can reach out to her office (for appointments etc.) via phone at (609) 227-1970.

Tiffiny Shantay Green is licensed to practice in New Jersey (license number 2023061499) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1942622915.

Contact Information

Tiffiny Shantay Green, APN
417 Warren St Unit 373,
Beverly, NJ 08010-1100
(609) 227-1970
Not Available

Map and Direction




Provider's Profile

Full NameTiffiny Shantay Green
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location417 Warren St Unit 373, Beverly, New Jersey
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffiny Shantay Green graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1942622915
  • Provider Enumeration Date: 01/10/2014
  • Last Update Date: 03/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8325329188
  • Enrollment ID: I20170110001962

Medical Identifiers

Medical identifiers for Tiffiny Shantay Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942622915NPI-NPPES
0543934MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR15665200 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 26NJ00685600 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2023061499 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Diamond Valley Behavioral Llc24668316153
Mind Your Mind600224269013

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tiffiny Shantay Green allows following entities to bill medicare on her behalf.
Entity NameMedexpress Urgent Care - New Jersey Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205183894
PECOS PAC ID: 6103076526
Enrollment ID: O20121022000045
Entity NameImmediate Care Medical Walk In Of Hazlet Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245595313
PECOS PAC ID: 0547410797
Enrollment ID: O20121024000045
Entity NameBrowne Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851733349
PECOS PAC ID: 9032347281
Enrollment ID: O20140114001594
Entity NameImmediate Care Medical Walk-in Of Toms River
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013337633
PECOS PAC ID: 8921228511
Enrollment ID: O20141002000774
Entity NameUrgent Care Physicians Of New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447622402
PECOS PAC ID: 1658674585
Enrollment ID: O20160126002347
Entity NameMind Your Mind
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053955096
PECOS PAC ID: 6002242690
Enrollment ID: O20200129002828
Entity NameDiamond Valley Behavioral Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497480081
PECOS PAC ID: 2466831615
Enrollment ID: O20220818003426
Entity NameDiamond Valley Behavioral Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497480081
PECOS PAC ID: 2466831615
Enrollment ID: O20231108003670

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffiny Shantay Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tiffiny Shantay Green, APN
417 Warren St Unit 373,
Beverly, NJ 08010-1100

Ph: () -		Tiffiny Shantay Green, APN
417 Warren St Unit 373,
Beverly, NJ 08010-1100

Ph: (609) 227-1970

Reviews and Comments


Nurse Practitioner Nurses in Beverly, NJ

Mrs. Ruth Goda, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 215 Powder Mill Rd, Beverly, NJ 08010
Phone: 973-489-0406    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.