Individual provider Active NPI

Rebecca Geoffroy, P.A.

  • Medical Physician Assistant
  • Pittsfield, MA
National Provider Identifier
1639298342
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2076 Issued in MA
Practice address
426 East St
Pittsfield, MA 01201-5308
Phone
(413) 442-8267
Fax
(413) 442-8253
NPI assigned
Mar 27, 2007
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
Medical Physician Assistant 363AM0700X 2076 MA Primary

Addresses

Primary practice location

426 East St
Pittsfield, MA 01201-5308

Mailing address

426 East St
Pittsfield, MA 01201-5308
Phone (413) 442-8267

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119000945 PA Practitioner - Physician Assistant 8224460928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2076MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

511 E 3rd St
Ste 201
Bethlehem, PA 18015
Phone (484) 526-3060

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639298342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 EAST ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015308",
            "telephone_number": "413-442-8267",
            "fax_number": "413-442-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EAST ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015308",
            "telephone_number": "413-442-8267",
            "fax_number": "413-442-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEOFFROY",
        "first_name": "REBECCA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.