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

Yaakov Samuel Green, MD

Individual provider Psychiatry Physician · NPI 1124761770

Yaakov Samuel Green, MD practises Psychiatry in New York, New York. Graduated from Yale University School of Medicine in 2022, 4 years ago. Licensed in New York.

Years since qualifying
4
Trained at
Yale University School of Medicine
Licensed in
NY
In the registry since
2022
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

1051 Riverside Dr # 103
New York, NY 10032-1007
Phone: (646) 774-6302
Fax: (256) 662-6919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 325659 (NY)

Record details

NPI number1124761770
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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