DR. DOUGLAS STEWART GREEN (NPI# 1790753523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790753523 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS STEWART GREEN |
| Credential | MD |
| Practice Address |
1199 Pleasant Valley Way Kessler Institute for Rehabilitation West Orange NJ 07052 |
| Practice Telephone | 9733256210 |
| Practice Fax Number | 9732436861 |
| Mailing Telephone | 9733256210 |
| Mailing Fax Number | 9732436861 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2018-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MA45011 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MA45011 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1948504 | 05 | |
| PALMETTO | 290008079 | 01 | |
| OXFORD INSURANCE | 1551579 | 01 | |
| AETNA | 44611 | 01 | |
| HEALTHNET | F02745 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588072797 | Douglas Andrew Green | Counselor | 677 S 7th Ave, Mount Vernon, NY 10550-4825 | 2014-07-31 |
| 1205119195 | Douglas Green | Physical Therapist | 16819 S Dupont Hwy, Ste 500, Harrington, DE 19952-3192 | 2011-09-27 |
| 1376822445 | Douglas Green | Counselor | 8715 Plantation Ln, Ste 301 A, Manassas, VA 20110-8323 | 2011-08-08 |
| 1437323698 | Douglas Green | Counselor | 1011 Goodrich Blvd, Los Angeles, CA 90022-5102 | 2008-04-18 |
| 1972614717 | Douglas Green | Dentist | 10729 Town Square Dr Ne, #150, Blaine, MN 55449 | 2006-08-31 |
| 1609129246 | Douglas Green | Behavioral Analyst | 1516 E Tropicana Ave Ste 137, Las Vegas, NV 89119-6552 | 2012-10-19 |
| 1841584471 | Douglas Keith Green | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-05-31 |
| 1790018596 | Douglas Koakane Green | Chiropractor | 75-5852 Alii Dr, Suite 166, Kailua Kona, HI 96740-1310 | 2009-09-10 |
| 1164635173 | Douglas Allen Green | Radiology | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2007-05-07 |
| 1699806216 | Douglas Green | Rehabilitation Practitioner | 14535 Sherman Cir, Van Nuys, CA 91405-3087 | 2007-03-07 |
| Street Address |
1199 PLEASANT VALLEY WAY KESSLER INSTITUTE FOR REHABILITATION |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919620 | Kessler Institute for Rehabilitation Inc | Clinic/Center | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2005-08-12 |
| 1770104002 | Jordana Burstein | Physical Medicine & Rehabilitation | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-04-28 |
| 1427677350 | Meghan Leach | Speech-Language Pathologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-04-10 |
| 1760022479 | Kaila Hoer | Occupational Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2020-01-10 |
| 1174168090 | Amanda Jaclyn Sylvester | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-11-14 |
| 1891336616 | Amy Rose Rasmusson | Occupational Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-10-02 |
| 1902457559 | Elizabeth Felker | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-09-25 |
| 1700435344 | Brittany O'reilly | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-09-06 |
| 1922652577 | Katherine Fair Chan | Clinical Neuropsychologist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-07-31 |
| 1801356928 | Jason Sheehan | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2019-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568529527 | Essex Medical Associates Pa | Internal Medicine | 92 Old Northfield Rd, West Orange, NJ 07052-5337 | 2007-01-02 |
| 1578802385 | Louis V Sangosse, Md Pa | Internal Medicine | 745 Northfield Ave, Suite #7, West Orange, NJ 07052-1144 | 2013-02-14 |
| 1205001385 | Fred Martin Jacobs | Internal Medicine | 95 Old Short Hills Rd, Saint Barnabas Health Care System, West Orange, NJ 07052 | 2008-04-29 |
| 1487694964 | Louis V Sangosse | Internal Medicine | 745 Northfield Ave, West Orange, NJ 07052-1144 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494319 | Intensivist Md Support LLC | Internal Medicine | 1931 Oak Tree Rd Ste 202, Edison, NJ 08820-2072 | 2020-07-09 |
| 1124598438 | North Jersey Pulmonary Associates | Internal Medicine | 1040 Main St # 3, Paterson, NJ 07503-2212 | 2018-11-29 |
| 1487147740 | Advanced Pulmonary Medicine, LLC | Internal Medicine | 721 North Beers St, Suite 2g & H, Holmdel, NJ 07733 | 2018-06-12 |
| 1720522303 | Middlesex Pulmonary Geriatric Associates LLC | Internal Medicine | 815 New Dover Rd, Edison, NJ 08820-1820 | 2016-12-15 |
| 1750758785 | Internal and Pulmonary Medicine Associates LLC | Internal Medicine | 27 Primrose Ln, Sparta, NJ 07871-3495 | 2015-08-25 |
| 1083096598 | Justin Pi Md Inc | Internal Medicine | 241 Colby Pl, Morganville, NJ 07751-1744 | 2015-06-19 |
| 1710305339 | Scott G. Ferrara | Internal Medicine | 160 Essex St Ste 103, Lodi, NJ 07644-2709 | 2014-04-01 |
| 1972920510 | Atlantis Health Care Group Inc | Internal Medicine | 14 Tindall Rd, Middletown, NJ 07748-2722 | 2014-03-20 |
| 1942633656 | Carolina Pinzon Escobar | Internal Medicine | 1 Springfield Ave Fl 3, Summit, NJ 07901-4055 | 2013-08-16 |
| 1255690822 | Medical Specialists of Northern Newjersey LLC | Internal Medicine | 54a Hazen Ct, Wayne, NJ 07470-3212 | 2012-05-16 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.