MRS. LUCILLE MONICA GREEN


Address: 111 Lexington Ave, Passaic, NJ 07055-5246
Phone: 9734718006

MRS. LUCILLE MONICA GREEN (NPI# 1205059268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205059268
Entity Type Individual
Full Name MRS. LUCILLE MONICA GREEN
Credential APN MSN
Practice Address 111 Lexington Ave
Passaic
NJ 07055-5246
Mailing Address 24 Oak St
Teaneck
NJ 07666-3827
Practice Telephone 9734718006
Practice Fax Number 9734711630
Mailing Telephone 2018361339
Enumeration Date 2007-04-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
26NC08138300 NJ Nursing Service Providers

Office Location

Street Address 111 LEXINGTON AVE
City PASSAIC
State NJ
Zip Code 07055-5246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831312065 Pamela Yvette Williams Psychiatry & Neurology 111 Lexington Ave, Passaic, NJ 07055-5246 2007-04-10
1023641180 Delilah Lopez Counselor 111 Lexington Ave, Passaic, NJ 07055-5246 2020-02-18
1518516863 Milagros M Balboa-hart Social Worker 111 Lexington Ave, Passaic, NJ 07055-5246 2019-09-10
1689132938 Paulo Cesar Tenorio Counselor 111 Lexington Ave, Passaic, NJ 07055-5246 2019-03-06
1588122915 Erica Pena Counselor 111 Lexington Ave, Passaic, NJ 07055-5246 2019-03-05
1831656776 Lorenza Elena Paskas Marriage & Family Therapist 111 Lexington Ave, Passaic, NJ 07055-5246 2019-02-27
1124431903 Rosario D Cruz-castillo Counselor 111 Lexington Ave, Passaic, NJ 07055-5246 2014-06-09
1497192264 Rosalina Santos Counselor 111 Lexington Ave, Passaic, NJ 07055-5246 2013-06-03
1508202169 Alexandra Descalzi Counselor 111 Lexington Ave, Passaic, NJ 07055-5246 2013-05-22
1750578894 Tania Jimenez Counselor 111 Lexington Ave, Passaic, NJ 07055-5246 2007-10-03
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1760924310 Hadassah Selengut Speech-Language Pathologist 254 Pennington Ave, Passaic, NJ 07055 2016-11-14
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

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1093087249 Lisa M Ewan Registered Nurse 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165 2012-02-03
1841429255 Shana Elizabeth Careatti Registered Nurse 2500 Mcclellan Ave, Suite 300, Pennsauken, NJ 08109-4613 2009-07-07
1891921300 Barbara Jane Taylor Registered Nurse 40 Saint Andrews Ct, Westampton, NJ 08060-4721 2009-06-10
1164606869 Susan Lee Allender Registered Nurse 385 Tremont Ave # Ward12b, East Orange, NJ 07018-1023 2007-12-18
1225221781 Kathleen Joan Mencher Registered Nurse 464 Academy St, South Orange, NJ 07079-1839 2007-08-19
1801005491 Carolyn Pierce Buckelew Registered Nurse 79 Hilliard Rd, Old Bridge, NJ 08857-1535 2007-05-21
1295958296 Susan Gragen Fingerhut Registered Nurse 2250 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-2051 2007-04-10
1912021197 Carmen M. Rosado Registered Nurse 100 1st St Ste 203, Hackensack, NJ 07601-2154 2007-03-16
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Competitor

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City PASSAIC
Zip Code 07055

Improve Information

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Dataset Information

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.

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