Tasaine Green
NPI 1124994843ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Pine Hill, NJ
Nurse Practitioner, Psych/Mental Health in Pine Hill, New Jersey, trained at Fordham University School of Medicine (class of 2025). Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1124994843 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 13, 2025 |
| Last updated in NPPES | Oct 13, 2025 |
| Certified by provider | Oct 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | APRN11042535 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Education and affiliations
| Medical school | Fordham University School of Medicine |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Shakespeare Operating LLCBronx, NY · 151 clinicians
- Thrive Wellness and Recovery IncWatertown, NY · 10 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Psych/Mental Health providers in Pine Hill
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- 1649089426
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