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Contact Information

JEREMY GREEN, MD
506 6TH ST
BROOKLYN, NY11215-3609
 Phone: 718-780-5870
 Fax: 718-780-7719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JEREMY GREEN · (Male)

NPI # 1629090055
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 05/28/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 218026
  • NY Medicaid 02639421
Hospital affiliation(s)
  • NEWARK BETH ISRAEL MEDICAL CENTER - (Acute Care)
    201 LYONS AVE
    NEWARK, NJ 07112
  • ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY - (Acute Care)
    865 STONE ST
    RAHWAY, NJ 07065
  • UMDNJ UNIVERSITY HOSPITAL - (Acute Care)
    150 BERGEN ST
    NEWARK, NJ 07103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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