Organization Active NPI

Genesis Rehab Services

  • Skilled Nursing Facility
  • Edgewater, NJ
National Provider Identifier
1174990790
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
46TA09088300 Issued in NJ
Legal business name
GENESIS REHAB SERVICES
Practice address
404 Chase CT
Edgewater, NJ 07020-1609
Phone
(845) 416-2699
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Mrs. Emily Jane PerrottaNPI 1598111908
Title
Cota
Phone
(845) 416-2699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 46TA09088300 NJ Primary

Addresses

Primary practice location

404 Chase CT
Edgewater, NJ 07020-1609

Mailing address

404 Chase CT
Edgewater, NJ 07020-1609
Phone (845) 416-2699

National Provider Directory

National Provider Directory

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": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1174990790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CHASE CT",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201609",
            "telephone_number": "845-416-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CHASE CT",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201609",
            "telephone_number": "845-416-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "PERROTTA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "845-416-2699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "46TA09088300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.