GENEVIEVE WOOD-MINARDI PA
NPI 1023663184
Physician Assistant - Medical in Brooklyn, NY

Active since August 06, 2019Opted out of Medicare · through Apr 29, 2027
236 BROADWAY, BROOKLYN, NY 11211(718) 307-1230 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Jan 16, 2020, Aug 6, 2019 (3 updates tracked since 2019).

About Genevieve Wood-minardi Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENEVIEVE WOOD-MINARDI PA (NPI 1023663184) is an individual medical provider in Brooklyn, New York, licensed in New York (024594) and active in the NPI registry since August 2019. She has opted out of Medicare through April 29, 2027 and remains eligible to order and refer and maintains a secondary practice location in Patchogue.

NPPES Registry Identity

NPI1023663184
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGENEVIEVE WOOD-MINARDICredential: PA
Location Address236 BROADWAYBrooklyn, NY 11211-6289
Mailing Address107 N Ocean Ave Ste GPatchogue, NY 11772-2012 · (631) 654-5004 · Fax (631) 654-5048
Sole ProprietorYes
Enumeration DateAugust 6, 2019
Last NPPES UpdateApril 11, 20233 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
NPI 1023663184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 024594
Also ListedPhysician AssistantTaxonomy 363A00000X
236 BROADWAY, Brooklyn, NY 11211

Secondary Practice Location 1

Location 1107 N Ocean Ave Ste GPatchogue, NY 11772-2012 · Phone (631) 654-5004 · Fax (631) 654-5048

Other Identifiers 1

Other024594-01NY · Registration Certificate

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Genevieve Wood-minardi Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 29, 2025 through April 29, 2027.

Opt-Out Effective DateApril 29, 2025
Opt-Out In Effect ThroughApril 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
236 BROADWAY
BROOKLYN, NY 11211
Physician Assistant
236 BROADWAY
BROOKLYN, NY 11211
Optometrist
236 BROADWAY
BROOKLYN, NY 11211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genevieve Wood-minardi's NPI number?

The NPI number for Genevieve Wood-minardi is 1023663184. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Genevieve Wood-minardi located?

Genevieve Wood-minardi practices at 236 Broadway, Brooklyn, NY 11211. The listed phone number is (718) 307-1230.

What is Genevieve Wood-minardi's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Genevieve Wood-minardi enrolled in Medicare?

No. Genevieve Wood-minardi has opted out of Medicare through April 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Genevieve Wood-minardi was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.