Individual provider Active NPI

Debra S Georgetti, MD

  • Pediatrics Physician
  • Dickson City, PA
National Provider Identifier
1326064684
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD063076-L Issued in PA
Practice address
920 Viewmont Drive
Dickson City, PA 18519-1683
Phone
(570) 346-1464
Fax
(570) 346-7450
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD063076-L PA Primary

Addresses

Primary practice location

920 Viewmont Drive
Dickson City, PA 18519-1683

Mailing address

920 Viewmont Dr
Dickson City, PA 18519-1664
Phone (570) 346-1464

Other practice location 1

500 York Rd Ste 250
Jenkintown, PA 19046-2870
Phone (215) 884-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000084 PA Practitioner - Pediatric Medicine 9335322106 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD063076-LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STC Pediatrics LLC Pediatrics Current Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Nov 6, 2023 Accepting new patients
STC Pediatrics LLC Pediatrics CurrentSince Nov 6, 2023 Accepting new patients

Locations

500 York Rd
Ste 250
Jenkintown, PA 19046
Phone (215) 572-5300

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

Interoperability endpoints

  • Direct secure messaging: drgeorgetti@pedsofnepa.medentdirect.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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1326064684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 VIEWMONT DR",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191664",
            "telephone_number": "570-346-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 VIEWMONT DRIVE",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191683",
            "telephone_number": "570-346-1464",
            "fax_number": "570-346-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 York Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462870",
            "country_code": "US",
            "telephone_number": "215-884-5060",
            "fax_number": "215-572-1575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGETTI",
        "first_name": "DEBRA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD063076-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

Verify at the official NPI Registry.