Organization Active NPI

Genesis Rehab Services

  • Assisted Living Facility
  • Somerset, NJ
National Provider Identifier
1184070369
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
46TR00643200 Issued in NJ
Legal business name
GENESIS REHAB SERVICES
Practice address
473 Demott LN
Somerset, NJ 08873-7700
Phone
(732) 301-4438
NPI assigned
May 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Lynda Sullivan
Title
Regional Recruiter
Phone
(866) 957-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 46TR00643200 NJ Primary

Addresses

Primary practice location

473 Demott LN
Somerset, NJ 08873-7700

Mailing address

76 Main St
Apt G
Chester, NJ 07930-2551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1184070369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MAIN ST",
            "address_2": "APT G",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "079302551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 DEMOTT LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737700",
            "telephone_number": "732-301-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "REGIONAL RECRUITER",
        "authorized_official_telephone_number": "866-957-8910"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "46TR00643200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.