ELAINE R GREEN (NPI# 1063607810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063607810 |
| Entity Type | Individual |
| Full Name | ELAINE R GREEN |
| Credential | NNP |
| Practice Address |
5645 Main St Flushing NY 11355-5045 |
| Practice Telephone | 7186702007 |
| Mailing Telephone | 7186702007 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
F350070 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720452295 | Elaine Green | Registered Nurse | 11643 Clearwater Dr, Fenton, MI 48430-8610 | 2015-11-21 |
| 1710195409 | Elaine Green | Social Worker | 853 Broadway, New York, NY 10003 | 2007-05-18 |
| 1073628863 | Elaine Reeves Green | Psychiatry & Neurology | 14150 Parkeast Cir Ste 200, Chantilly, VA 20151-2295 | 2006-08-20 |
| 1295717288 | Elaine Marie Green | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2005-11-16 |
| Street Address |
5645 MAIN ST |
| City | FLUSHING |
| State | NY |
| Zip Code | 11355-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094400 | Maryanne Chin | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2005-06-28 |
| 1093315160 | Ashlee Mishae Dillon | Registered Nurse | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-28 |
| 1275131229 | Dakai Liu | Spec/Tech, Pathology | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-13 |
| 1194322552 | Priyamvada Pillai | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-10-07 |
| 1831705078 | Justine Chirichella | Dietitian, Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-09-22 |
| 1063037422 | Chuhyun Jana Myong | Pharmacist | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-11 |
| 1427673169 | Isabel Yuabov | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-09 |
| 1174147011 | Philemon Chu | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-06 |
| 1710501044 | Lea Chernoff | Student in an Organized Health Care Education/Training Program | 5645 Main St, Flushing, NY 11355-5045 | 2020-06-02 |
| 1639793201 | Jiawen Huang | Physician Assistant | 5645 Main St, Flushing, NY 11355-5045 | 2020-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
| 1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
| 1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
| 1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
| 1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
| 1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
| 1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
| 1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
| 1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
| 1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
| Find all providers in zip 11355 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505928 | Kemba Hazeley | Nurse Practitioner | 1825 Eastchester Rd Fl 5n, Bronx, NY 10461-2301 | 2020-07-15 |
| 1558929802 | Sanidine C Hofilena | Nurse Practitioner | 1256 E 59th St, Brooklyn, NY 11234-3304 | 2019-06-02 |
| 1376068916 | Jennifer D Haas | Nurse Practitioner | 101 Nicholls Road Hsc T 11 060, Stony Brook, NY 11794-0001 | 2017-08-04 |
| 1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
| 1265807846 | Colleen Carmody | Nurse Practitioner | 148 Saint Marks Pl, Massapequa, NY 11758-6422 | 2015-12-08 |
| 1265812150 | Brandi Aemisegger | Nurse Practitioner | 373 Biddle Loop, West Point, NY 10996-1307 | 2015-06-04 |
| 1851718035 | Pat Buenvenida | Nurse Practitioner | 234 East 118th Street, 1, New York, NY 10035 | 2014-03-25 |
| 1750710729 | Charlene Lyons | Nurse Practitioner | 100 Nicolls Rd # Level5, Stony Brook, NY 11794-8111 | 2013-11-10 |
| 1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
| 1528337698 | Anne Marie Jorgensen | Nurse Practitioner | 32 Rochelle Dr, New City, NY 10956-5853 | 2011-12-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.