GREEN LIFE DIAGNOSTICS, INC. (NPI# 1669798260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669798260 |
| Entity Type | Organization |
| Organization Name | GREEN LIFE DIAGNOSTICS, INC. |
| Practice Address |
1903 Willow Oak Ln Cedar Knolls NJ 07927-1338 |
| Practice Telephone | 8036736355 |
| Practice Fax Number | 8662011187 |
| Mailing Telephone | 8036736355 |
| Mailing Fax Number | 8662011187 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |
| Authorized Official Name | MR. PREETHAM PILLARISETTY (DIRECTOR) |
| Authorized Official Telephone | 8036736355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Street Address |
1903 WILLOW OAK LN |
| City | CEDAR KNOLLS |
| State | NJ |
| Zip Code | 07927-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459587 | Casey Solana | Pharmacist | Schralt's 2.0 LLC Pharmacy, 3 Wing Drive Suite 102, Cedar Knolls, NJ 07927 | 2019-10-28 |
| 1134760077 | Victoria Khavulya | Pharmacist | 3 Wing Dr, Ste 102, Cedar Knolls, NJ 07927 | 2019-10-02 |
| 1447891478 | Jennifer Cela | Registered Nurse | 3 Wing Drive Suite 102, Schraft's 2.0 Pharmacy LLC, Cedar Knolls, NJ 07927 | 2019-10-01 |
| 1578082079 | Towne Drugs LLC | Durable Medical Equipment & Medical Supplies | 103 Ridgedale Avenue, Cedar Knolls, NJ 07927 | 2017-09-15 |
| 1740615079 | Kenneth Simms | Physical Therapist | 197 Ridgedale Ave Suite 155, Cedar Knolls, NJ 07927 | 2013-09-05 |
| 1356775027 | Kristina E Warchol | Physical Therapist | 197 Ridgedale Ave. Suite155, Cedar Knolls, NJ 07927 | 2013-08-29 |
| 1982043857 | Samuel Torres Dona Jr. | Physical Medicine & Rehabilitation | 197 Ridgedale Ave Ste 300, Cedar Knolls, NJ 07927 | 2013-06-24 |
| 1144565292 | Lindsay H. Chambers | Physical Therapist | 197 Ridedale Ave., Suite 155, Cedar Knolls, NJ 07927 | 2012-11-30 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1225369671 | James O'rourke Physical Therapy, LLC. | Physical Therapist | 8 Ridgedale Ave, Cedar Knolls, NJ 07927 | 2010-01-25 |
| Find all providers in zip 07927 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790332369 | Anthony Palmieri | Clinic/Center | 2 Chaser Ct, Holmdel, NJ 07733-2933 | 2019-08-19 |
| 1053830869 | Bradley and Elliott Imaging, LLC | Clinic/Center | 84 Park Ave Ste G210c, Flemington, NJ 08822-1174 | 2017-09-12 |
| 1366854259 | Ir Imaging Medical Service LLC | Clinic/Center | 218 Avenue B, 3f, Bayonne, NJ 07002-3145 | 2014-05-27 |
| 1013257419 | Nj Medical Solutions | Clinic/Center | 17 S 21st St, Kenilworth, NJ 07033-1625 | 2013-02-21 |
| 1053685511 | Professional Mobile Diagnostic Imaging LLC | Clinic/Center | 1810 Kennedy Boulevard, Jersey City, NJ 07305 | 2012-03-01 |
| 1386916005 | Sunny Imaging LLC | Clinic/Center | 127 Nathan Dr, North Brunswick, NJ 08902-1234 | 2012-01-27 |
| 1194093294 | Us Medical Services LLC | Clinic/Center | 85 Parlin Ln, Watchung, NJ 07069-5419 | 2011-12-05 |
| 1912238874 | Myron Medical Imaging, LLC | Clinic/Center | 218 N 10th St, Kenilworth, NJ 07033-1152 | 2010-01-15 |
| 1295968154 | Jersey Diagnostic Imaging, LLC | Clinic/Center | 929 N Wood Ave, Linden, NJ 07036-4039 | 2009-08-26 |
| 1932338969 | 3dimension Diagnostic Solution Inc | Clinic/Center | 394 Union St, 1st Floor, Jersey City, NJ 07304-1212 | 2009-07-13 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR KNOLLS |
| Zip Code | 07927 |
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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.