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

Dr. Justin Jacob Green, MD

Individual provider Specialist · NPI 1104894872

Dr. Justin Jacob Green, MD is a Dermatology in Marlton, New Jersey. Graduated from Rutgers School of Dental Medicine in 1998, 28 years ago. Practices with Cmc Department of Medicine Group PA, a 474-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
28
Trained at
Rutgers School of Dental Medicine
Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10000 Sagemore Dr Ste 10101
Marlton, NJ 08053-3944
Phone: (856) 596-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 25MA07058200 (NJ)
Specialist Taxonomy 174400000X · Licence 25MA07058200 (NJ)

Record details

NPI number1104894872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 1998 (28 years in practice)
Group practice Cmc Department Of Medicine Group Pa — 474 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Marlton