Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Eldercare Physician Services LLC

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1104819259

Genesis Eldercare Physician Services LLC is a Geriatric Medicine (Internal Medicine) Physician in Agawam, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

464 Main St Heritage Hall E
Agawam, MA 01001
Phone: (413) 786-8000
Fax: (413) 789-1099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 75866 (MA)

Record details

NPI number1104819259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Shapiro — Vp, Controller · (410) 832-7790
NPI enumeratedAugust 24, 2005
Last updated in NPPESAugust 5, 2019
Mailing addressPo Box 62946, Baltimore, MD 21264-2946