Individual provider Active NPI

Marguerite Garofalo, M.D.

  • Family Medicine Physician
  • Mansfield, MA
National Provider Identifier
1972606945
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218850 Issued in MA
Practice address
450 Chauncy St Ste 2
Mansfield, MA 02048-1198
Phone
(508) 339-2900
Fax
(508) 680-8181
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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 218850 MA Primary

Addresses

Primary practice location

450 Chauncy St Ste 2
Mansfield, MA 02048-1198

Mailing address

450 Chauncy St Ste 2
Mansfield, MA 02048-1198
Phone (508) 339-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218850MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Body Shop Physical Therapy CurrentSince Jul 23, 2023 Accepting new patients

Locations

450 Chauncy St
Ste 2
Mansfield, MA 02048
Phone (412) 956-6966

Interoperability endpoints

  • Direct secure messaging: marguerite.garofalo@533349168775172.direct.elationemr.com

Organizations & group practices 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1972606945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CHAUNCY ST STE 2",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481198",
            "telephone_number": "508-339-2900",
            "fax_number": "508-680-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CHAUNCY ST STE 2",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481198",
            "telephone_number": "508-339-2900",
            "fax_number": "508-680-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFALO",
        "first_name": "MARGUERITE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "218850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

Verify at the official NPI Registry.