DR. JUSTIN JACOB GREEN (NPI# 1104894872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104894872 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN JACOB GREEN |
| Credential | MD |
| Practice Address |
100 Brick Rd Suite 306 Marlton NJ 08053-2146 |
| Practice Telephone | 8565960111 |
| Practice Fax Number | 8565967194 |
| Mailing Telephone | 8565960111 |
| Mailing Fax Number | 8565967194 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA07058200 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8908702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138762 | Justin Green | Doula | 1435 N Dearborn St Apt 4a, Chicago, IL 60610-1562 | 2020-09-10 |
| 1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
| 1427467141 | Justin Green | Registered Nurse | 1241 5th Ave, Stevens Point, WI 54481-1726 | 2014-08-06 |
| 1881613503 | Justin O Green | Counselor | #4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2006-07-19 |
| 1124027644 | Justin B. Green | Podiatrist | 2309 E Main St, Suite 201, New Iberia, LA 70560-4046 | 2005-07-18 |
| 1093312142 | Justin Taylor Green | Student in an Organized Health Care Education/Training Program | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-10-01 |
| 1750874210 | Justin A Green | Dentist | 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 | 2018-06-10 |
| 1225582760 | Justin Tyler Green | Pharmacist | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2016-08-13 |
| 1639525884 | Justin M Green | Family Medicine | 3950 E Robinson Rd Ste 207, W Amherst, NY 14228-2044 | 2016-05-06 |
| 1326431644 | Justin Green | Physician Assistant | 308 Dolphin Dr, Jacksonville, NC 28546-5266 | 2015-03-11 |
| Street Address |
100 BRICK RD SUITE 306 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793590 | Jeffrey Jay Sorokin | Internal Medicine | 100 Brick Rd, Suite 216, Marlton, NJ 08053-2146 | 2005-10-09 |
| 1306270277 | Cherry Hill Medical Associates, P.a. | Clinic/Center | 100 Brick Rd, Suite 206, Marlton, NJ 08053-2146 | 2013-08-28 |
| 1588096465 | Advocare, LLC | Ophthalmology | 100 Brick Rd, Suite 115, Marlton, NJ 08053-2146 | 2013-08-02 |
| 1467748632 | Charles Adam Glass | Ophthalmology | 100 Brick Rd, Suite 115, Marlton, NJ 08053-2146 | 2011-06-25 |
| 1225362098 | Aramingo Radiology, PC | Radiology | 100 Brick Rd, Suite #101, Marlton, NJ 08053-2146 | 2009-09-28 |
| 1669662193 | Angela Galasso Hudson | Chiropractor | 100 Brick Rd, Suite 215, Marlton, NJ 08053-2146 | 2007-07-31 |
| 1649479379 | Gastroenterology Associates Pa | Internal Medicine | 100 Brick Rd, Suite 216, Marlton, NJ 08053-2146 | 2007-07-12 |
| 1649475369 | Martin K Belsky Do PC | Independent Medical Examiner | 100 Brick Rd, Suite #108, Marlton, NJ 08053-2146 | 2007-06-21 |
| 1831305218 | Harry Grossman, Md | Eyewear Supplier (Equipment, not the service) | 100 Brick Rd, 115, Marlton, NJ 08053-2146 | 2007-05-15 |
| 1639297203 | Nermin Lazarus, Do LLC | Family Medicine | 100 Brick Rd, Suite 210, Marlton, NJ 08053-2146 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597818 | Amanda Mascieri | Specialist | 716 Barton Run Blvd, Marlton, NJ 08053-2758 | 2019-09-17 |
| 1033466099 | Alexandra Nicole Paradise | Specialist | 27 Cranberry Ct, Marlton, NJ 08053-3770 | 2012-08-09 |
| 1689961005 | Charles Soltner Jr. | Specialist | 773 E Route 70 Ste E125, Marlton, NJ 08053-2341 | 2011-07-06 |
| 1407007578 | Center for Adult Medicine of Snj Pa | Specialist | 12000 Lincoln Dr West, 405, Pavilions @ Greentree, Marlton, NJ 08053 | 2008-10-07 |
| 1902928435 | Cynthia Marlo Baird | Specialist | 2001 Lincoln Dr W Ste A, Marlton, NJ 08053-1531 | 2007-04-04 |
| 1861537219 | Joel B Glass | Specialist | 8004 Lincoln Dr W Ste E, Rt 73 & Greentree Road, Marlton, NJ 08053-3213 | 2007-02-21 |
| 1881742989 | David Paul Osterhout | Specialist | 733 State Highway, #70, East Elmwood Business Park, Suite 303, Marlton, NJ 08053 | 2007-01-08 |
| 1073609947 | Emily J. Berlin | Specialist | 3001 Lincoln Dr W, Suite I, Marlton, NJ 08053-1528 | 2006-10-05 |
| 1649388398 | Gregory Anthony Pistone | Specialist | 100 Centre Blvd Ste 100e, Marlton, NJ 08053-4128 | 2006-08-25 |
| 1295750578 | Vijay R Marwaha | Specialist | 750 Route 73 S Ste 309, Marlton, NJ 08053-4141 | 2006-07-13 |
| Find all providers in MARLTON | ||||
Please comment or provide details below to improve the information on DR. JUSTIN JACOB GREEN.
| 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.