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NPI Code Detail

MEDICARE: CARLENE P. GREEN

MEDICARE: CARLENE P. GREEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner26NJ0107400NJ
2363LF0000XFamily Nurse Practitioner26NJ006144400NJ

General Provider Information

NPI Number : 1013378439
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLENE P. GREEN
Provider Business Mailing Address
First Line : 1416 PARK AVE
Second Line :
City : PLAINFIELD
State : NJ
Zip : 07060-2911
Country : US
Telephone Number : 908-757-6363
Fax Number : 908-754-6807
Provider Business Practice Location Address
First Line : 1416 PARK AVE
Second Line :
City : PLAINFIELD
State : NJ
Zip : 07060-2911
Country : US
Telephone Number : 908-757-6363
Fax Number : 908-754-6807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2016
Last Update Date : 11/12/2025

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Directions to “ CARLENE P. GREEN ” Practice Location

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