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

Raymond Greene

Individual provider Surgical Physician Assistant · NPI 1073733184

Raymond Greene is a Physician Assistant in Mineola, New York. Qualified in 1999, 27 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

259 1st St Winthrop University Hospital GP4
Mineola, NY 11501-3957
Phone: (516) 663-2384
Fax: (516) 663-8288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 007679-1 (NY)

Record details

NPI number1073733184
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 30, 2007
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address259 1st St, Winthrop University Hospital Gp4, Mineola, NY 11501-3957

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mineola