Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. David A. Green, MD

Individual provider Urology Physician · NPI 1245503523

Dr. David A. Green, MD is an Urology in Glen Ridge, New Jersey. Graduated from Icahn School of Medicine at Mount Sinai in 2005, 21 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

777 Bloomfield Ave
Glen Ridge, NJ 07028-2325
Phone: (973) 429-0462
Fax: (973) 429-8765
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 262278 (NY)

Record details

NPI number1245503523
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 16, 2012
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024
Mailing address375 Mount Pleasant Ave, Suite 250, West Orange, NJ 07052-2750

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2005 (21 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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