Healthcare Provider Details

I. General information

NPI: 1669813119
Provider Name (Legal Business Name): AIGNER GREEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 WHITEHORSE MERCERVILLE RD SUITE 103
HAMILTON NJ
08619-3834
US

IV. Provider business mailing address

PO BOX 8500-2946
PHILADELPHIA PA
19178-2946
US

V. Phone/Fax

Practice location:
  • Phone: 609-587-6661
  • Fax: 609-815-7810
Mailing address:
  • Phone: 609-815-7810
  • Fax: 609-815-7814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00504500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NR14897100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: