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

MS. Katie E Green, PA-C

Individual provider Medical Physician Assistant · NPI 1679853634

MS. Katie E Green, PA-C is a Physician Assistant in Brick, New Jersey. Qualified in 2011, 15 years ago. Practices with Owen Carolan MD LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
15
Licensed in
NJ, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

457 Jack Martin Blvd
Brick, NJ 08724
Phone: (732) 840-7500
Fax: (732) 840-2088
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00367400 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 014932-1 (NY)

Record details

NPI number1679853634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2011
Last updated in NPPESApril 10, 2018
Mailing address457 Jack Martin Blvd., Brick, NJ 08724

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Owen Carolan Md Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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