Individual provider Active NPI

Becket L Greten-Harrison, PA-C

  • Medical Physician Assistant
  • Woodbridge, CT
National Provider Identifier
1144755067
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3818 Issued in CT
Practice address
499 Amity Rd
Woodbridge, CT 06525-1603
Phone
(203) 886-9307
NPI assigned
Apr 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3818 CT Primary
Physician Assistant 363A00000X 3818 CT

Addresses

Primary practice location

499 Amity Rd
Woodbridge, CT 06525-1603

Mailing address

499 Amity Rd
Woodbridge, CT 06525-1603
Phone (203) 800-9877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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
I20170912003192 CT Practitioner - Physician Assistant 7113290214 Reassigns benefits to 2 organizations
I20230512001622 NY Practitioner - Physician Assistant 7113290214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

499 Amity Rd
Woodbridge, CT 06525-1603
Phone (203) 886-9307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029857NYMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: becket.greten-harrison@923236505288708.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1144755067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 AMITY RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251603",
            "telephone_number": "203-800-9877",
            "fax_number": "203-836-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 AMITY RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251603",
            "telephone_number": "203-886-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETEN-HARRISON",
        "first_name": "BECKET",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "3818",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

Verify at the official NPI Registry.