Active NPI
Joseph Francis Georges, PA
- Physician Assistant
- Brentwood, NY
National Provider Identifier
1962133256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000676.P.A.
- Practice address
- 46 Ridgewood Ave
Brentwood, NY 11717-1623 - Phone
- (631) 877-2878
- NPI assigned
- Jun 18, 2022
- 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 | 000676-P.A. | PR | |
| Physician Assistant | 363A00000X | 000676.P.A. | PR | Primary |
Addresses
Primary practice location
46 Ridgewood Ave
Brentwood, NY 11717-1623
Mailing address
46 Ridgewood Ave
Brentwood, NY 11717-1623
Phone (631) 877-2878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000676-P.A. | PR | MD | Physician Assistant |
| 000676.P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655510400000",
"number": "1962133256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 RIDGEWOOD AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171623",
"telephone_number": "631-877-2878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 RIDGEWOOD AVE",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "117171623",
"telephone_number": "631-877-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGES",
"first_name": "JOSEPH",
"middle_name": "FRANCIS",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-18",
"last_updated": "2022-06-18",
"certification_date": "2022-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "000676-P.A.",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "000676.P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.