Provider Demographics
NPI:1447246889
Name:GREEN-WOOD ASSOCIATES
Entity type:Organization
Organization Name:GREEN-WOOD ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:NATICCHIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-832-8000
Mailing Address - Street 1:409 STENTON AVE # 30
Mailing Address - Street 2:
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-1327
Mailing Address - Country:US
Mailing Address - Phone:610-832-8000
Mailing Address - Fax:610-832-8111
Practice Address - Street 1:930 CHURCH ST
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232-4271
Practice Address - Country:US
Practice Address - Phone:609-646-6900
Practice Address - Fax:609-645-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJS262H314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0582480001Medicare NSC
NJ315212Medicare Oscar/Certification