Individual provider Active NPI

Pasha Generette, MD

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1568434298
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD039259L Issued in PA
Practice address
2 Penn Blvd
Suite 112
Philadelphia, PA 19144-1416
Phone
(215) 848-8800
Fax
(215) 848-6036
NPI assigned
Feb 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD039259L PA Primary

Addresses

Primary practice location

2 Penn Blvd
Suite 112
Philadelphia, PA 19144-1416

Mailing address

101 East Olney Ave
505
Philadelphia, PA 19120

Other identifiers 1

IdentifierTypeStateIssuer
001489863007MedicaidPA

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
I20140130000737 PA Practitioner - Family Practice 4880823467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

625 E Wister St
Suite 110
Philadelphia, PA 19144-1501
Phone (215) 843-6093

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039259LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Jun 1, 2002 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Jun 1, 2002 Accepting new patients

Locations

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

101 E Olney Ave
Ste 505
Philadelphia, PA 19120
Phone (215) 224-8675

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

2 Penn Blvd
Ste 112
Philadelphia, PA 19144
Phone (215) 843-8272

5753 Wayne Ave
Philadelphia, PA 19144
Phone (215) 848-8800

625 E Wister St
Ste 110
Philadelphia, PA 19144
Phone (215) 843-6093

Interoperability endpoints

  • Direct secure messaging: pasha.generette@direct.einstein.edu

Organizations & group practices 2

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 3

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568434298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST OLNEY AVE",
            "address_2": "505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PENN BLVD",
            "address_2": "SUITE 112",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441416",
            "telephone_number": "215-848-8800",
            "fax_number": "215-848-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENERETTE",
        "first_name": "PASHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD039259L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001489863007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.