Active NPI
Richard E. Georges II, PA-C
- Surgical Physician Assistant
- East Setauket, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 014475
- Practice address
- 6 Technology Dr Ste 100
East Setauket, NY 11733-4079 - Phone
- (631) 689-6698
- Fax
- (631) 751-5548
- NPI assigned
- Nov 16, 2010
- Last updated
- May 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014475 | NY | |
| Surgical Physician Assistant | 363AS0400X | 014475 | NY | Primary |
Addresses
Primary practice location
6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Mailing address
6 Technology Dr Ste 100
East Setauket, NY 11733-4079
Phone (631) 689-6698
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 E Main St
Babylon, NY 11702-3510
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
46 Brentwood Rd
Bay Shore, NY 11706-6924
Phone (631) 587-1800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014475 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| Orthopedic Assoc of Long Island Physicians & Medical Group PLLC | Current | Accepting new patients | |
| Orthopedic Associates of Long Island LLP | Current | Accepting new patients | |
| Medical Services of Kips Bay PC | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
46 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 206-1384
53 Brentwood Rd
Bay Shore, NY 11706
Phone (516) 487-9454
6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685
300 Community Dr
Manhasset, NY 11030
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- richardgeorges@oali.ssdirect.aprima.com
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Orthopaedic Surgery Physician
- East Setauket, NY
- NPI 1225593809
-
- Durable Medical Equipment & Medical Supplies
- Centereach, NY
- NPI 1235943572
-
- Orthopaedic Surgery Physician
- Commack, NY
- NPI 1316348683
-
- Orthopaedic Surgery Physician
- Garden City, NY
- NPI 1629671185
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1194026559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR STE 100",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698",
"fax_number": "631-751-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TECHNOLOGY DR STE 100",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117334079",
"telephone_number": "631-689-6698",
"fax_number": "631-751-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGES",
"first_name": "RICHARD",
"middle_name": "E.",
"name_suffix": "II",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-16",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014475",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "014475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.