Individual provider Active NPI

Jason Georgekutty, D.O.

  • Physical Medicine & Rehabilitation Physician
  • White Plains, NY
National Provider Identifier
1053750299
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
321443 Issued in NY
Practice address
785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone
(877) 749-7428
Fax
(512) 628-3314
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 321443 NY
Physical Medicine & Rehabilitation Physician 208100000X 321443 NY Primary

Addresses

Primary practice location

785 Mamaroneck Ave
White Plains, NY 10605-2523

Mailing address

1776 Woodstead CT
Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160727000520 NJ Practitioner - Physical Medicine and Rehabilitation 7012223779 Reassigns benefits to 1 organization
I20230928000049 NY Practitioner - Physical Medicine and Rehabilitation 7012223779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Physiatry Practice of New York, PCGroup PAC ID 6709230576, 4 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

785 Mamaroneck Ave
White Plains, NY 10605-2523
Phone (281) 724-3050

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030

Merit-based Incentive Payment System (MIPS)

Final score
63.98 of 100Reported as group
Quality
21.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Post-Acute Physicians of New Jersey, LLC Physical Medicine & Rehabilitation CurrentSince Jan 7, 2021 Accepting new patients
Physiatry Practice of New York, PC Physical Medicine & Rehabilitation CurrentSince May 25, 2023 Accepting new patients
Winifred Masterson Burke Rehabilitation Hospital Past Accepting new patients

Locations

201 Pleasant Hill Rd
Chester, NJ 07930
Phone (973) 252-6300

65 N Sussex St
Dover, NJ 07801
Phone (973) 361-5200

1199 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 414-4755

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

707 Throggs Neck Expy
Bronx, NY 10465
Phone (718) 430-0003

3550 Lexington Ave
Mohegan Lake, NY 10547
Phone (800) 695-1030

676 Pelham Rd
New Rochelle, NY 10805
Phone (708) 806-1434

31 Lockwood Ave
New Rochelle, NY 10801
Phone (212) 410-9047

40 Keogh Ln
New Rochelle, NY 10805
Phone (914) 636-6200

77 Jackson Ave
Scarsdale, NY 10583
Phone (914) 472-3200

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2257

12 Tibbits Ave
White Plains, NY 10606
Phone (914) 287-7200

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

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 2

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1053750299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT",
            "address_2": "STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MAMARONECK AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052523",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGEKUTTY",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "NY",
            "license": "321443",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "321443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.