Gethin Jacob George, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

022963-1 Issued in NY

Practice address

700 Vets Hwy Ste Cl100
Hauppauge, NY 11788-3085

Phone

(631) 257-5200

NPI assigned

Jan 17, 2019

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• MC MD P.C.

  • Psychiatry Physician
  • Hauppauge, NY
  • NPI 1922537760

  Single Specialty

  NPD

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1255805719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 VETS HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882952",
            "telephone_number": "631-257-5200",
            "fax_number": "631-257-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VETS HWY STE CL100",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883085",
            "telephone_number": "631-257-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "GETHIN",
        "middle_name": "JACOB",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022963-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lucia Gasparro-Zucconi, RPA-C
• Patrick Gathman, PT, DPT
• Corinne Megan Geasor
• Vardley Gedeon, FNP-BC
• Albina Geleta
• Lana Gerbino
• Anne Marie Gervasio
• Kathleen Gessner
• Jessica C Gia
• Victor Giamos, MD

• Physician Assistant in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.