Genesis Rehab Servises

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

46TA09094700 Issued in NJ

Legal business name

GENESIS REHAB SERVISES

Practice address

301 Sicomac Ave
Wyckoff, NJ 07481-2159

Phone

(201) 848-4323

NPI assigned

Jun 28, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Russell Wayne Chalmers

Title

Occupational Therapy Assistant

Phone

(845) 820-1953

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403913600000",
    "number": "1053726083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR STE 302",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "724-779-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SICOMAC AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812159",
            "telephone_number": "201-848-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-28",
        "last_updated": "2014-06-28",
        "status": "A",
        "authorized_official_last_name": "CHALMERS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "845-820-1953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "46TA09094700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Burleigh Gallina, PHD
• Joseph J Gartner, MD
• Gary Goodmark DC PA
• Mary Geen
• Carole Gelfer, PH.D.
• George J. Martino, MD, PA
• Youstina M Gerges, DPT
• Mara Jade Gilfedder, OTR/L
• Barry H Ginsberg, MD
• Giuseppe Giovatto Jr., D.C.

• Skilled Nursing Facility in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.