Individual ProviderCaroline GreeneNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Bowman Dr., Suite E385 Back, Voorhees, NJ 08043(856) 840-4534PECOS EnrollmentBased on the most recent information from CMS, provider Caroline Greene is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1760849301Provider TypeIndividualFull NameGreene, CarolineCredentialAPNGenderFemaleSole ProprietorYesEnumeration Date1/27/2016Last Updated1/3/2025Contact InformationPractice LocationPractice Address200 Bowman Dr., Suite E385 Back, Voorhees, NJ 08043Phone(856) 840-4534Fax(856) 762-2853Mailing LocationMailing Address301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197Phone(856) 840-4534Fax(856) 762-2853Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ00608400New JerseyCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP015599PennsylvaniaProvider IdentifiersIDDescriptionIssuerID0505374DescriptionMedicaidIssuerUnlistedNew Jersey