Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Rodger Omar Andrae Green, MD

Individual provider Family Medicine Physician · NPI 1861789745

Dr. Rodger Omar Andrae Green, MD is a Family Practice in Bronx, New York. Qualified in 2010, 16 years ago. Practices with Excelcare Medical Associates PA, a 199-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and New York.

Years since qualifying
16
Licensed in
NJ, NY
In the registry since
2011
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

1276 Fulton Ave
Bronx, NY 10456-3402
Phone: (718) 910-8236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA10689500 (NJ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 207Q00000X (NY)

Record details

NPI number1861789745
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2011
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Excelcare Medical Associates Pa — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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