Individual provider Active NPI

Genevieve Wood-Minardi, PA

  • Medical Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1023663184
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
024594 Issued in NY
Practice address
236 Broadway
Brooklyn, NY 11211-6289
Phone
(718) 307-1230
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 024594 NY Primary

Addresses

Primary practice location

236 Broadway
Brooklyn, NY 11211-6289

Mailing address

107 N Ocean Ave Ste G
Patchogue, NY 11772-2012
Phone (631) 654-5004

Other practice location 1

107 N Ocean Ave Ste G
Patchogue, NY 11772-2012
Phone (631) 654-5004

Other identifiers 1

IdentifierTypeStateIssuer
024594-01OtherNYREGISTRATION CERTIFICATE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL minardigenevieve@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 29, 2025 through Apr 29, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024594NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atria Physician Practice New York, PC PastSince Oct 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4
  • Direct secure messaging: genevieve.wood-minardi.1@24265.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1023663184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N OCEAN AVE STE G",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722012",
            "telephone_number": "631-654-5004",
            "fax_number": "631-654-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116289",
            "telephone_number": "718-307-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 N Ocean Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117722012",
            "country_code": "US",
            "telephone_number": "631-654-5004",
            "fax_number": "631-654-5048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD-MINARDI",
        "first_name": "GENEVIEVE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "024594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION CERTIFICATE",
            "identifier": "024594-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "minardigenevieve@gmail.com",
            "affiliation": "N",
            "address_1": "816 Sylvan Ave",
            "city": "Bayport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117051553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.