MRS. SANDRA ROSE GREEN (NPI# 1649820788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649820788 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA ROSE GREEN |
| Credential | MEDICAL TRANSPORT |
| Practice Address |
200 Spring Valley Ave Hackensack NJ 07601-2944 |
| Practice Telephone | 2016562350 |
| Practice Fax Number | 2016561719 |
| Mailing Telephone | 2016562350 |
| Mailing Fax Number | 2016561719 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
G73056897951662 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0450406503 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184998460 | Sandra Green | Rehabilitation Practitioner | 3 Sunset Ln, Pompano Beach, FL 33062-7344 | 2012-03-03 |
| 1932227717 | Sandra Louise Green | Social Worker | 173 W 78th St, Suite 2a, New York, NY 10024-6703 | 2007-03-27 |
| 1366040743 | Sandra Green | Technician | 1 Avenue C Ste 102, Madison, WV 25130-1100 | 2020-10-16 |
| 1538393400 | Sandra A Green | Clinical Nurse Specialist | 1300 Creason Rd, Corning, AR 72422-1716 | 2009-05-07 |
| 1700041977 | Sandra D. Green | Pediatrics | 1701 Alexandria Dr, Lexington, KY 40504-3149 | 2008-07-27 |
| 1396906574 | Sandra Kay Green | Registered Nurse | 301 University Blvd, Galveston, TX 77555-5302 | 2008-06-20 |
| 1700064177 | Sandra Adams Green | Social Worker | 68 Parkway Commons Way, Greer, SC 29650-5213 | 2008-02-07 |
| 1508050782 | Sandra Jean Green | Nurse Practitioner | 716 Stevens Ave, Portland, ME 04103-2693 | 2007-08-30 |
| 1700093358 | Sandra Lee Green | Counselor | 1701 W Charleston Blvd, Suite 300, Las Vegas, NV 89102-2325 | 2007-05-16 |
| 1538291349 | Sandra Lucille Green | Counselor | 822 W Town and Country Rd, Orange, CA 92868-4712 | 2007-03-09 |
| Street Address |
200 SPRING VALLEY AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639729783 | Alana Med Invalid Coach LLC | Non-emergency Medical Transport (VAN) | 200 Spring Valley Ave, Hackensack, NJ 07601-2944 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164803284 | Sam Chuan Lu | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2015-06-15 |
| 1700825890 | Joseph Feldman | Emergency Medicine | 30 Prospect Ave, Etd- 3 Main Rm 3619, Hackensack, NJ 07601-1914 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841708914 | Paraflightems | Emergency Medicine | 100 Gudz Rd, Lakewood, NJ 08701-2320 | 2018-01-11 |
| 1790028413 | Albert Shu He | Emergency Medicine | 20 Livingston Ave Unit 705, New Brunswick, NJ 08901-1995 | 2013-04-01 |
| 1851524862 | Andrew Berens | Emergency Medicine | 157 Sagamore Rd, Millburn, NJ 07041-2147 | 2009-08-25 |
| 1538310099 | Walter Patrick De Palma | Emergency Medicine | 2123 Shore Rd, Linwood, NJ 08221-2125 | 2008-10-02 |
| 1518115336 | Meenu Grover | Emergency Medicine | 21 Surrey Ln, Mahwah, NJ 07430-2502 | 2008-09-04 |
| 1477711927 | Ming-hong Wu | Emergency Medicine | 5 Moller St, Tenafly, NJ 07670-2019 | 2008-05-30 |
| 1396960464 | Charlotte Ann Alspach | Emergency Medicine | 2355 Ocean Dr, Avalon, NJ 08202-2070 | 2007-04-16 |
| 1730303371 | Janet Ann Neglia | Emergency Medicine | 5 Roe Ln, Howell, NJ 07731-9067 | 2007-04-13 |
| 1568555357 | Julie S Whitney | Emergency Medicine | 325 Marlton Pike E, Cherry Hill, NJ 08034-2408 | 2006-10-02 |
| 1205842408 | Stephen Amaefuna | Emergency Medicine | 4 Faas Ct, West Orange, NJ 07052-2652 | 2006-07-31 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on MRS. SANDRA ROSE 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.