IndividualActive
Sandra Green, MEDICAL TRANSPORT
NPI 1649820788 · Emergency Medical Services (Emergency Medicine) Physician · Hackensack, NJ
Provider details
- NPI number
- 1649820788
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MEDICAL TRANSPORT
- Sex
- Female
- Sole proprietor
- Yes
- License
- G73056897951662 (NJ)
Specialties & taxonomies
- Emergency Medical Services (Emergency Medicine) PhysicianPrimary207PE0004XLicense G73056897951662 (NJ)
Allopathic & Osteopathic Physicians
Practice location
200 Spring Valley Ave
Hackensack, NJ 07601-2944
Phone: (201) 656-2350
Fax: (201) 656-1719
Approximate (ZIP-level) locationGet directions
Mailing address
200 Spring Valley Ave
Hackensack, NJ 07601-2944
Registry dates
- Enumerated
- 2019-09-19
- Last updated
- 2019-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.