GINA JOSEPH – Physician Assistant, NPI 1043941784

GINA JOSEPH is a healthcare provider. based in Waltham, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA8824 (MA). The NPI Number for GINA JOSEPH is 1043941784

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
GINA JOSEPH
NPI
1043941784
Phone
(781) 693-3800
Address
43 Foundry Ave
Enumeration Date
23 June 2022
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172245351
Graduation Year
2022 (4 years ago)
PAC ID
4385029206
Group Practice PAC ID
1759273436
Professional Enrollment ID
I20220913003384
Address ID
MA021165883BO185XXSTXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for GINA JOSEPH

  • 43 Foundry Ave

    Waltham, MA 024538313

    Phone: (781) 693-3800

    Type: Location

  • 38A CRESCENT ST

    WEST NEWTON, MA 024652021

    Phone: (617) 417-6303

    Type: Mailing

  • 43 FOUNDRY AVE

    WALTHAM, MA 024538313

    Phone: (781) 693-3800

    Type: Location

  • 1 EMBARCADERO CTR STE 1900

    SAN FRANCISCO, CA 941113723

    Phone: (415) 658-6791

    Type: Mailing

  • 185 DARTMOUTH ST STE 603

    BOSTON, MA 021165883

    Phone: (888) 663-6331

    Fax: (415) 252-7176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220913003384IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02453)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759273436View full group profile
NameSpecialtyState
P A T H O L O G YMA
Nurse PractitionerNY
Diagnostic RadiologyME
Physician AssistantMA
Diagnostic RadiologyMI
Diagnostic RadiologyMA
Diagnostic RadiologyOH
P A T H O L O G YMA
Family Practice, Osteopathic Manipulative MedicineMA
Diagnostic Radiology, Interventional RadiologyNY

Reviews

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Frequently asked questions

What identifier follows GINA JOSEPH across health systems?
The NPI 1043941784 uniquely identifies GINA JOSEPH in U.S. healthcare data.
Is GINA JOSEPH's NPI status active today?
Active status means GINA JOSEPH's NPI record is not deactivated in the public file.
Which specialty label fits GINA JOSEPH?
NPPES ties GINA JOSEPH to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GINA JOSEPH?
GINA JOSEPH is associated with Waltham, Massachusetts in the same public data insurers reference.
Why is information missing for GINA JOSEPH?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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