MATTHEW GREEN (NPI# 1750934030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750934030 |
| Entity Type | Individual |
| Full Name | MATTHEW GREEN |
| Practice Address |
374 Stockholm St Brooklyn NY 11237-4006 |
| Mailing Address |
1628 Stewart Ln Syosset NY 11791-9640 |
| Practice Telephone | 7189637272 |
| Mailing Telephone | 5167768595 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558768 | Matthew S Green | Massage Therapist | 20445 Emerald Pkwy Ste 140, Cleveland, OH 44135-6031 | 2019-09-24 |
| 1114394236 | Matthew Dylan Green | Physical Therapist | 2108 Hemlock Dr, Spring Hill, TN 37174-3147 | 2015-08-24 |
| 1104176163 | Matthew Paul Green | Dentist | 12 River Terrace Ct, Apartment 204, Minneapolis, MN 55414-3713 | 2012-09-17 |
| 1619238987 | Matthew Jonathon Green | Dentist | 421 Second St, Traverse City, MI 49684-2004 | 2012-06-04 |
| 1629210992 | Matthew Reed Green | Dermatology | 2546 E 2nd St., #400, Casper, WY 82609 | 2009-04-01 |
| 1124220793 | Matthew Stuart Green | Chiropractor | 6232 La Salle Ave, Oakland, CA 94611-2804 | 2007-06-04 |
| 1679697957 | Matthew Green | Counselor | 1208 Porter Wagoner Blvd, Suite 4, West Plains, MO 65775-1854 | 2007-03-19 |
| 1144203308 | Matthew Peter Green | Medical Genetics, Ph.D. Medical Genetics | 575 Industrial Dr, Louisa, VA 23093-4146 | 2005-11-22 |
| 1427661990 | Matthew Green | Dentist | 2190 Us Highway 27 N, Sebring, FL 33870-1861 | 2020-08-25 |
| 1356982482 | Matthew Green | Behavioral Analyst | 6 Chenell Dr Ste 150, Concord, NH 03301-8505 | 2019-09-30 |
| Street Address |
374 STOCKHOLM ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886322 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2005-07-26 |
| 1285233189 | Camille I Del Pilar Rodriguez | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-10-21 |
| 1972110096 | Wyckoff Heights Medical Center Laboratory Services | Clinical Medical Laboratory | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-09-24 |
| 1134734130 | Andre Cosmo Ruela | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-09-15 |
| 1134732233 | Fehintola Orisamolu | Nurse Practitioner | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-28 |
| 1548871189 | Leonidha Duka | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-16 |
| 1083225890 | Luis Carlos Moron Mercado | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-14 |
| 1891305207 | Oyinem Odumah | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-08-01 |
| 1609491646 | Bilyana Ristic | Dietitian, Registered | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-06-16 |
| 1881219061 | Victoria Lewis | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 1093313355 | Nanyamkah Jacquella Washington | Student in an Organized Health Care Education/Training Program | 280 Sterling St, Brooklyn, NY 11225-4113 | 2020-10-09 |
| 1750996476 | Charlotte Berthe Scott | Student in an Organized Health Care Education/Training Program | 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 | 2020-09-10 |
| 1336751429 | Chhabilal Bastola | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1710599840 | Saujan Devkota | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1831709260 | Taimy Falcon-rodriguez | Student in an Organized Health Care Education/Training Program | 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 | 2020-07-31 |
| 1720697048 | Elli Jacob Matatov | Student in an Organized Health Care Education/Training Program | 714 E 9th St, Brooklyn, NY 11230-2202 | 2020-07-23 |
| 1639797178 | Alessia Field | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-msc24, Brooklyn, NY 11203-2012 | 2020-07-10 |
| 1124645361 | Danielle Bensimhon Greco | Student in an Organized Health Care Education/Training Program | 132 Remsen St, Brooklyn, NY 11201-4275 | 2020-07-04 |
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| Find all providers in BROOKLYN | ||||
Please comment or provide details below to improve the information on MATTHEW GREEN.
| 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.