Individual provider Active NPI

Georgey Easow, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1083637805
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-2010 Issued in GU
Practice address
10223 Jeanes St
Philadelphia, PA 19116-3619
Phone
(570) 817-4757
NPI assigned
Jul 25, 2006
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT181128 PA
Internal Medicine Physician 207R00000X M-2010 GU Primary

Addresses

Primary practice location

10223 Jeanes St
Philadelphia, PA 19116-3619

Mailing address

10223 Jeanes St
Philadelphia, PA 19116-3619

Other identifiers 1

IdentifierTypeStateIssuer
MT181128OtherPAGRADUATE MEDICAL TRAINEE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GU2 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
I20161021000609 NY Practitioner - Internal Medicine 6204114572 Reassigns benefits to 5 organizations
I20170119001525 GU Practitioner - Internal Medicine 6204114572 Practice locations: Dededo, GU

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
My Medical PCGroup PAC ID 0143610600, 93 clinicians

Practice addresses (Care Compare)

14040 Sanford Ave
Flushing, NY 11355-2556
Phone (310) 709-1236

2830 Pitkin Ave
Brooklyn, NY 11208-3220
Phone (347) 709-3133

355 Fishkill Ave
Beacon, NY 12508-2061
Phone (845) 831-6000

6355 Broadway
Bronx, NY 10471-2701
Phone (718) 708-0940

799 E Gun Hill Rd
Bronx, NY 10467-6107
Phone (310) 709-1236

8008 45TH Ave
Elmhurst, NY 11373-3545
Phone (347) 709-3133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-2010GUMDInternal Medicine Physician
MT181128PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Py Medical PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Medical Services of Northeastern Queens PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
My Medical PC Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Peyman Younesi MD PLLC Internal Medicine CurrentSince Oct 21, 2020 Accepting new patients

Locations

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

1160 Teller Ave
Bronx, NY 10456
Phone (718) 215-4355

6355 Broadway
Bronx, NY 10471
Phone (718) 549-3300

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (516) 641-8482

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

1 Commons Dr
Lake Katrine, NY 12449
Phone (845) 336-6666

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700

Networks

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

Organizations & group practices 5

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

Hospital & facility affiliations 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1083637805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 JEANES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 JEANES ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163619",
            "telephone_number": "570-817-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASOW",
        "first_name": "GEORGEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT181128",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GU",
            "license": "M-2010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRADUATE MEDICAL TRAINEE",
            "identifier": "MT181128",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.