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

Nicholas Lee Green, MD

Individual provider Anesthesiology Physician · NPI 1275876229

Nicholas Lee Green, MD is a Pain Management in Greenvale, New York. Qualified in 2013, 13 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 171-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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

2200 Northern Blvd Ste 118
Greenvale, NY 11548-1220
Phone: (516) 563-7910
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 297140 (NY)

Record details

NPI number1275876229
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2013
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address2200 Northern Blvd Ste 118, Greenvale, NY 11548-1220

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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