Genevieve Basanaga, NP
Individual provider Active NPI Family Nurse Practitioner · North Plainfield, NJ
NPI 1114600152 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1114600152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ14891200 (NJ)
- Practice address
- 43-45 Pearl Street
North Plainfield, NJ 07060 - Phone
- (908) 822-9700
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Faith Family Health Care Professional Corp.
Practice addresses (Care Compare)
43 -45 Pearl St
North Plainfield, NJ 07060-4886
Phone (908) 822-9700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231211001011 | NJ | Practitioner - Nurse Practitioner | 1759730112 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14891200 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Family Health Care Professional Corp. | Current |
Accepting new patients | |
| Family Medicine Group LLC | Past |
Accepting new patients |
Locations
43 Pearl St
North Plainfield, NJ 07060
Phone (908) 822-9700
5 Mountain Blvd
Ste 3
Warren, NJ 07059
Phone (908) 755-5335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 26NJ14891200 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NJ14891200 | NJ | Yes |
Addresses
Primary practice location
43-45 Pearl Street
North Plainfield, NJ 07060
Mailing address
22 Ewing Dr
Piscataway, NJ 08854-6266
Phone (732) 910-7605
Other providers in North Plainfield, NJ
- Lynn Anyaele
- Florentino Apostadero III
- Ankamma Attoti
- Krishna Chaitanya Attoti
- Olaitan Babarinde
- Samilia Beckley
- Robert B Beim
- Maria Justine Birotte Sanchez
- Monica Blissett
- Borough of North Plainfield
All providers in North Plainfield, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.