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Genesis Eldercare Physician Services LLC

Geriatric Medicine (Internal Medicine) Physician in Agawam, MA · enumerated 2005 · authorized official Eric Shapiro, Vp, Controller.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104819259

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Registry record

Entity type Organization (Type 2)
Legal business name Genesis Eldercare Physician Services LLC
Practice address 464 Main St, Heritage Hall East, Agawam, MA, 01001
Fax (413) 789-1099
Enumeration date Aug 24, 2005
Last updated in NPPES Aug 5, 2019

Taxonomy & classification

207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 75866 (MA) Primary

Authorized official

Name Eric Shapiro
Title Vp, Controller

Other identifiers

Identifier Type State Issuer
9770917 Medicaid MA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Genesis Eldercare Physician Services LLC?
Genesis Eldercare Physician Services LLC is registered in NPPES as a Geriatric Medicine (Internal Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-05.