Organization Active NPI

Generace Group LLC

  • Marriage & Family Therapist
  • Sewell, NJ
National Provider Identifier
1194354324
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
GENERACE GROUP LLC
Practice address
123 Egg Harbor Rd Ste 703
Sewell, NJ 08080-9410
Phone
(608) 271-6582
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Andrew Zmuda, PHDNPI 1386986305
Title
Director
Phone
(609) 271-6582

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

123 Egg Harbor Rd Ste 703
Sewell, NJ 08080-9410

Mailing address

123 Egg Harbor Rd Ste 703
Sewell, NJ 08080-9410

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andy@generacegroup.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250206001468 NJ Part B Supplier - Clinic/Group Practice 7517497555 Receives reassigned benefits from 1 practitioner
Practice locations: Blackwood, NJ

National Provider Directory

National Provider Directory

Locations

900 Route 168
Ste E2
Blackwood, NJ 08012
Phone (609) 271-6582

123 Egg Harbor Rd
Ste 703
Sewell, NJ 08080
Phone (608) 271-6582

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": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1194354324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 703",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 703",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809410",
            "telephone_number": "608-271-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERACE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "ZMUDA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-271-6582",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andy@generacegroup.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "123 Egg Harbor Rd Ste 703",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.