DR. PHILIP GREEN (NPI# 1275675027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275675027 |
| Entity Type | Individual |
| Full Name | DR. PHILIP GREEN |
| Credential | MD |
| Practice Address |
177 Ft Washingtn Ave New York NY 10032-3733 |
| Mailing Address |
630 W 168th St Box 4 New York NY 10032-3725 |
| Practice Telephone | 2123423616 |
| Mailing Telephone | 2123423616 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
253211 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
253211 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8718 Bay Pkwy Fl 1-2, Brooklyn, NY 112145272 | 7182660900 | 7182661426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518007582 | Philip P Green | Dentist | 3925 Sw 153rd Dr, Suite #100, Beaverton, OR 97006-4166 | 2007-02-07 |
| 1104867373 | Philip A Green | Emergency Medicine | 401 W Poplar St, Psmmc Er, Walla Walla, WA 99362-2846 | 2006-06-09 |
| 1003800335 | Philip David Green | Emergency Medicine | 1040 Medical Park Ave, New Bern, NC 28562-5248 | 2005-09-01 |
| Street Address |
177 FT WASHINGTN AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632067 | Edward Gelmann | Internal Medicine | 177 Ft Washingtn Ave, Mhb 6n435, New York, NY 10032-3733 | 2005-07-14 |
| 1013570555 | Yang Qiao | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave, New York, NY 10032-3733 | 2019-04-19 |
| 1619465549 | Jacob Robert Krimbill | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave, New York, NY 10032-3733 | 2018-04-26 |
| 1376040980 | Shelby Rebecca Sferra | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave, New York, NY 10032-3733 | 2018-04-10 |
| 1710412721 | Belain Eyob | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave, 7gs-313, New York, NY 10032-3733 | 2017-04-27 |
| 1851825046 | Melanie Ng | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave, New York, NY 10032-3733 | 2017-04-14 |
| 1568996676 | Elizaveta Minko | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave, 7gs-313, New York, NY 10032-3733 | 2017-04-14 |
| 1629502133 | Andrew James Benintende | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave, 7gs-313, New York, NY 10032-3733 | 2017-04-12 |
| 1598298085 | Emaad Iqbal | Student in an Organized Health Care Education/Training Program | 177 Ft Washingtn Ave, 7gs-313, New York, NY 10032-3733 | 2017-04-11 |
| 1144671835 | Shauna Theresa Linn | Physician Assistant | 177 Ft Washingtn Ave, Milstein Building 8sk Room 8-004, New York, NY 10032-3733 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1972993913 | Cardiovascular Consultant of New York, P.C. | Internal Medicine | 715 W 170th St Ste Lh, New York, NY 10032-2907 | 2015-01-29 |
| 1942615604 | Jonathon Matthew White | Internal Medicine | 161 Fort Washington Avenue, 6th Floor, Interventional Cardiology, Columbia University, New York, NY 10032 | 2014-06-20 |
| 1619240801 | Ludwig Klein Md PC | Internal Medicine | 215 East 72 St, New York, NY 10021-4576 | 2012-02-17 |
| 1669751400 | Jean-michel Paradis | Internal Medicine | 795 Columbus Ave Apt 7c, New York, NY 10025-5953 | 2011-08-10 |
| 1154583458 | Athula Gunasekara | Internal Medicine | 3 E 101st St Apt 5a, New York, NY 10029-6530 | 2008-06-27 |
| 1528227667 | Subhi Alaref | Internal Medicine | 170 William St Fl 4, New York, NY 10038 | 2008-06-04 |
| 1831309517 | Alexander Joachim Slotwiner | Internal Medicine | New York Downtown Hospital, 170 William Street, New York, NY 10038-2649 | 2007-05-23 |
| 1972501153 | Ludwig Klein | Internal Medicine | 215 E 72nd St, New York, NY 10021-4576 | 2005-07-12 |
| Find all providers in NEW YORK | ||||
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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.