Genesis Rehabilitation Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

46TR00479600 Issued in NJ

Legal business name

GENESIS REHABILITATION SERVICES

Practice address

12-15 Saddle River Rd
Fair Lawn, NJ 07410-5808

Phone

(201) 797-9522

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Asha Surti, OTR

Title

Occupational Therapist

Phone

(201) 797-9522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1083943674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12-15 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-15 SADDLE RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105808",
            "telephone_number": "201-797-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "SURTI",
        "authorized_official_first_name": "ASHA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "201-797-9522",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "46TR00479600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Igor Gefter, MD
• Lorraine P. Gehrig Mullins, LCSW
• Roberta R. Gelfand, LCSW
• Yakov Gendler, DPT
• Genesis Eldercare Rehabilitation Services, Inc.
• Mary Jane Genuino, APRN
• Lina Gabrielle Gershovich, LMSW
• Get Well Physical Therapy and Wellness
• Charles Anthony Gigante
• Duchana Gille

• Skilled Nursing Facility in Fair Lawn, NJ
• Providers in Fair Lawn, 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 May 13, 2010; 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.