Individual provider Active NPI

Geraldine Deguzman-Javier, RPAC

  • Surgical Physician Assistant
  • New York, NY
National Provider Identifier
1003053364
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
004241 Issued in NY
Practice address
16TH St. and 1St Ave.
New York, NY 10003
Phone
(212) 420-2121
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 004241 NY Primary

Addresses

Primary practice location

16TH St. and 1St Ave.
New York, NY 10003

Mailing address

16TH St. and 1St Ave.
New York, NY 10003
Phone (212) 420-2121

Other practice location 1

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140221000187 NY Practitioner - Physician Assistant 9234369109 Reassigns benefits to 3 organizations
I20210505002302 CT Practitioner - Physician Assistant 9234369109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

500 Mamaroneck Ave
Harrison, NY 10528-1633
Phone (203) 869-1145

6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004241NYMDBehavioral Analyst
5137CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Apr 15, 2021 Accepting new patients
White Plains Physician Services PC CurrentSince Jul 16, 2023 Accepting new patients

Locations

6 Greenwich Office Park
#40
Greenwich, CT 06831
Phone (203) 869-1145

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

249 Danbury Rd
Wilton, CT 06897
Phone (203) 762-3353

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

170 Maple Ave
Ste 201
White Plains, NY 10601
Phone (914) 681-2783

222 Westchester Ave
Ste 101
White Plains, NY 10604
Phone 9149461010324

41 E Post Rd
#4I
White Plains, NY 10601
Phone (914) 981-2655

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1003053364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16TH ST. AND 1ST AVE.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16TH ST. AND 1ST AVE.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Greenwich Office Park",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068315151",
            "country_code": "US",
            "telephone_number": "203-869-1145",
            "fax_number": "203-617-1721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGUZMAN-JAVIER",
        "first_name": "GERALDINE",
        "credential": "RPAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "004241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.