MS. KATIE E GREEN


Address: 457 Jack Martin Blvd., Brick, NJ 08724
Phone: 7328407500

MS. KATIE E GREEN (NPI# 1679853634) 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) 1679853634
Entity Type Individual
Full Name MS. KATIE E GREEN
Other Name KATIE E. KRUPKE
Credential PA-C
Practice Address 457 Jack Martin Blvd.
Brick
NJ 08724
Practice Telephone 7328407500
Practice Fax Number 7328402088
Mailing Telephone 7328407500
Mailing Fax Number 7328402088
Enumeration Date 2011-08-23
Last Update Date 2018-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 25MP00367400 NJ Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
014932-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATIE GREEN

NPI Name Taxonomy Address Enumeration
1578039046 Katie Green Specialist/Technologist 1010 Three Springs Blvd, Durango, CO 81301-8296 2018-10-22
1366945941 Katie Green Counselor 105 S Garden Ave, Newport, WA 99156-9001 2018-03-09
1538603055 Katie Green Counselor 6601 Ne 78th Ct, Suite A3, Portland, OR 97218-2823 2016-12-19
1467809145 Katie Green Registered Nurse Madigan Army Medical Ctr, 0940 Jackson Ave, Tacoma, WA 98431-0001 2016-05-23
1205296795 Katie Green Nurse Practitioner 714 Highway 70 E, Kingston, OK 73439-8252 2016-02-26
1255688586 Katie Green Physical Therapist 1532 S Green Bay Rd, Ste 200, Mt Pleasant, WI 53406-4468 2012-08-06
1699916130 Katie Elizabeth Green Physician Assistant 2790 Clay Edwards Dr, Ste 600, N Kansas City, MO 64116-3276 2009-03-12
1740433689 Katie Prior Green Anesthesiology 3300 Providence Dr, Anchorage, AK 99508-4690 2008-10-23

Office Location

Street Address 457 JACK MARTIN BLVD.
City BRICK
State NJ
Zip Code 08724

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386498 Mark Malak Pharmacist 668 New Jersey Ave # 70, Brick, NJ 08724 2020-11-08
1699381681 Kimberly Granai Nurse Practitioner 1617 Nj-88, Brick Township, NJ 08724 2020-09-16
1407461346 Marina N Samuel Pharmacist 1890 Rt 88, Brick, NJ 08724 2020-09-08
1255974440 Diana Rachel Williamson Pharmacy Technician 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 2019-10-21
1710536842 Stephanie Ann Papa Nurse Practitioner 2125 Nj 88, Brick, NJ 08724 2019-09-11
1417504515 Susan B Anthony Physical Therapist 676 Overlook Ct, Brick, NJ 08724 2019-08-22
1831688076 Jennifer S Cashin Social Worker 1500 Nj-88, Brick, NJ 08724 2018-05-03
1528555315 James Kish Pt Physical Therapist 602 Yellowbrick Rd, Brick, NJ 08724 2018-04-17
1396262200 Michael Stephen Zito-govert Nurse Practitioner 1640 Route 88 West, Suite 203, Brick, NJ 08724 2017-08-23
1083140420 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1200 Route 70 East, Brick, NJ 08724 2017-05-04
Find all providers in zip 08724

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114528163 Paul J Lamartina Physician Assistant 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 2020-11-05
1932706579 Michelle Rose Maddatu Physician Assistant 742 Durham Ter, Brick, NJ 08724-1064 2020-10-07
1255861589 Christopher Whitehead Physician Assistant 1541 Route 88 W Ste J, Brick, NJ 08724-2373 2017-06-19
1265811343 William Bennett Physician Assistant 474 W Lake Dr, Brick, NJ 08724-1571 2015-05-22
1891006078 Stephanie V. Brown Physician Assistant 686 Route 70, Brick, NJ 08723-4026 2010-06-23
1841354230 Christina M Celmer Physician Assistant 1640 Route 88 Ste 201, Brick, NJ 08724-3068 2006-12-20
1780643940 James E Lynch Physician Assistant 92 Fairview Ave, Brick, NJ 08724-4314 2006-03-17
1447888649 Evan P Cardin Physician Assistant 495 Jack Martin Blvd Ste 2, Brick, NJ 08724-7778 2020-04-01
1841838950 Lindsay Marie Scala Physician Assistant 457 Jack Martin Blvd, Brick, NJ 08724-7776 2019-12-19
1033773833 Samantha Bangs Physician Assistant 478 Brick Blvd, Brick, NJ 08723-6077 2019-04-26
Find all providers in BRICK

Competitor

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City BRICK
Zip Code 08724

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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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