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Dr. Joshua Green, M.D.

Psychiatry & Neurology, Psychiatry in Phila, PA. Individual provider (NPI-1).

NPI number1376764969
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1376764969
Entity type
Individual (NPI-1)
Name
Dr. Joshua Green
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2007
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
Medicare opt-out
Jul 1, 2015 to Jul 1, 2027
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, PsychiatryMT184991PAYes

Practice location

833 Chestnut Street
Suite 210
Phila, PA 19107-4414

Phone 215-955-6104 · Fax 215-923-8219

Mailing address

833 Chestnut Street
Suite 210
Phila, PA 19107-4414

Phone 215-955-6104 · Fax 215-923-8219

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatry Physician providers in Phila, PA

All 28 Psychiatry Physician providers in Phila · All 1,161 providers in Phila

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