Organization Active NPI

Gene Tox Worldwide LLC

  • Clinical Medical Laboratory
  • Lyndhurst, NJ
National Provider Identifier
1134588817
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GENE TOX WORLDWIDE LLC
Practice address
136 Ridge Rd
Suite 1a
Lyndhurst, NJ 07071-1269
Phone
(201) 933-1078
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Charles Gentile
Title
Ceo
Phone
(201) 844-9910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

136 Ridge Rd
Suite 1a
Lyndhurst, NJ 07071-1269

Mailing address

136 Ridge Rd Ste 1a
Lyndhurst, NJ 07071-1269
Phone (201) 844-9910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160926000632 NJ Part B Supplier - Independent Clinical Laboratory 5890082465 Practice locations: Lyndhurst, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2115446Gene Tox Worldwide LLC136 Ridge Road, Lyndhurst, NJ 07071AccreditationFeb 11, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

136 Ridge Rd
Ste 1A
Lyndhurst, NJ 07071
Phone (201) 844-9910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1134588817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 RIDGE RD STE 1A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711269",
            "telephone_number": "201-844-9910",
            "fax_number": "844-308-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 RIDGE RD",
            "address_2": "SUITE 1A",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711269",
            "telephone_number": "201-933-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE TOX WORLDWIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-844-9910"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.