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

Tasaine Green

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124994843

Tasaine Green is a Nurse Practitioner in Pine Hill, New Jersey. Graduated from Fordham University School of Medicine in 2025, 1 year ago. Practices with Shakespeare Operating LLC, a 137-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Trained at
Fordham University School of Medicine
Licensed in
FL
In the registry since
2025

Practice location Address checks out

98 Estates Rd
Pine Hill, NJ 08021-6567
Phone: (347) 582-4944
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11042535 (FL)

Record details

NPI number1124994843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 11, 2025
Mailing address98 Estates Rd, Pine Hill, NJ 08021-6567

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Shakespeare Operating Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pine Hill