Leon Green, PHD - Medicare Psychologist in East Brunswick, NJ

Leon Green, PHD is a medicare enrolled "Psychologist - Health Service" provider in East Brunswick, New Jersey. His current practice location is 39 Gage Road, East Brunswick, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 545-2890.

Leon Green is licensed to practice in New Jersey (license number 35SI00202600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194820464.

Contact Information

Leon Green, PHD
39 Gage Road,
East Brunswick, NJ 08816
(732) 545-2890
(732) 545-2890



Healthcare Provider's Profile

Full NameLeon Green
GenderMale
SpecialityPsychologist - Health Service
Location39 Gage Road, East Brunswick, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194820464
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739364308
  • Enrollment ID: I20130617000414

Medical Identifiers

Medical identifiers for Leon Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194820464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 35SI00202600 (New Jersey)Primary
103TB0200XPsychologist - Cognitive & Behavioral 35SI00202600 (New Jersey)Primary
103TC0700XPsychologist - Clinical 35SI00202600 (New Jersey)Primary
103TH0100XPsychologist - Health Service 35SI00202600 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leon Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leon Green, PHD
39 Gage Road,
East Brunswick, NJ 08816

Ph: (732) 545-2890
Leon Green, PHD
39 Gage Road,
East Brunswick, NJ 08816

Ph: (732) 545-2890

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› Verified 1 days ago


Psychologist in East Brunswick, NJ

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Dr. Jessica J Dacosta, PSYD
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Phone: 732-257-7715    Fax: 732-613-9757
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