Genovese Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA08575200 Issued in NJ

Legal business name

GENOVESE PRIMARY CARE

Practice address

639 Stokes Rd
Suite 102
Medford, NJ 08055-3003

Phone

(609) 245-0416

Fax

(609) 245-0419

NPI assigned

Apr 30, 2015

Last updated

Jul 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Genovese, M.D.NPI 1902034242

Title

Owner/Physician

Phone

(609) 245-0416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia M Genovese, M.D.

  • Family Medicine Physician
  • Medford, NJ
  • NPI 1902034242
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1013394998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 STOKES RD",
            "address_2": "SUITE 102",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553003",
            "telephone_number": "609-245-0416",
            "fax_number": "609-245-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 STOKES RD",
            "address_2": "SUITE 102",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553003",
            "telephone_number": "609-245-0416",
            "fax_number": "609-245-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOVESE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "GENOVESE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "609-245-0416",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08575200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Schubert Gang, VMD
• Kayla Gangemi
• Paul Garrett, M.D.
• Carey Patresa Gatti, MA, NCC, LPC
• Caitlyn Sarah Gaul, MS, CCC-SLP
• Cynthia M Genovese, M.D.
• Gentle Pathways Therapy, LLC
• Brian Philip George, M.D.
• Vincent Giardina Jr., M.A.
• Donald C Gibson, DMD

• Family Medicine Physician in Medford, NJ
• Providers in Medford, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.