Active NPI
Geoffroy Hallah Patrice, M.D.
- Nephrology Physician
- Brooklyn, NY
National Provider Identifier
1063534741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 141929
- Practice address
- 914 E 84TH St
Brooklyn, NY 11236-3802 - Phone
- (718) 241-4621
- Fax
- (718) 241-4622
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 141929 | NY | Primary |
Addresses
Primary practice location
914 E 84TH St
Brooklyn, NY 11236-3802
Mailing address
914 E 84TH St
Brooklyn, NY 11236-3802
Phone (718) 241-4621
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71S501 | Other | NY | BLUE CROSS BLUE SHIELD |
| 01198693 | Other | NY | WORKERS'S COMPENSATION |
| 00766596 | Medicaid | NY | |
| 141929 | Other | NY | HIP |
| P570487 | Other | NY | OXFORD |
| 0084492 | Other | NY | GHI |
| 141929-B16 | Other | NY | HEALTHFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040617000019 | NY | Practitioner - Internal Medicine | 3971595224 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of New York Downstate Medical Center, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
914 E 84TH St
Brooklyn, NY 11236-3802
Phone (718) 241-4621
Hospital & facility affiliations
- Atlantic DMS - Central Brooklyn Sterling Place
- Crown Heights Center for Nursing and Rehabilitatio
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geoffroy H. Patrice, M.D., P.C. | Past | Accepting new patients | |
| The Brookdale Hospital Medical Center | Past | Accepting new patients | |
| St. Marks Brooklyn Associates LLC | Past | Accepting new patients | |
| Mill Basin Medical Services PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1144573502
-
- Specialist
- White Plains, NY
- NPI 1164454658
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1942648613
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1356307656
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brooklyn, NY
- NPI 1790784551
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063534741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 E 84TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363802",
"telephone_number": "718-241-4621",
"fax_number": "718-241-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 E 84TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112363802",
"telephone_number": "718-241-4621",
"fax_number": "718-241-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICE",
"first_name": "GEOFFROY",
"middle_name": "HALLAH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "141929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "71S501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS'S COMPENSATION",
"identifier": "01198693",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00766596",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "141929",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P570487",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0084492",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "141929-B16",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.