Active NPI
Genesis Elder Care Physician Services LLC
- Geriatric Medicine (Internal Medicine) Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- GENESIS ELDER CARE PHYSICIAN SERVICES LLC
- Practice address
- 660 Commonwealth Avenue
Warwick, RI 02886-2707 - Phone
- (401) 739-4241
- Fax
- (401) 732-3358
- NPI assigned
- May 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Margaret Jean Baker
- Title
- Dir of Bus Ops
- Phone
- (410) 494-7607
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary | ||
| Gerontology Nurse Practitioner | 363LG0600X | NPP37084 | RI |
Addresses
Primary practice location
660 Commonwealth Avenue
Warwick, RI 02886-2707
Mailing address
PO Box 42738
Towson, MD 21284-2738
Phone (860) 687-3629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9004790 | Medicaid | RI |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1598181349
Member Of
Locations (25 of 29)
20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734
1253 Hartford Tpke
Vernon Rockville, CT 06066
Phone (860) 375-7315
545 Palisado Ave
Windsor, CT 06095
Phone (203) 820-6093
1150 Varnum St NE
Ste 312
Washington, DC 20017
1080 Silver Lake Blvd
Dover, DE 19904
Phone (302) 734-5990
118 Enterprise Ct
Columbus, GA 31904
2365 Nashville Rd
Bowling Green, KY 42101
Phone (270) 782-9961
462 Main St
Ste 214
Agawam, MA 01001
462 Main St
Agawam, MA 01001
Phone (413) 786-9704
200 Brickstone Sq
Ste 301
Andover, MA 01810
Phone (978) 474-7500
455 Brayton Ave
Somerset, MA 02726
Phone (508) 649-2240
3 Park Dr
Westford, MA 01886
Phone (978) 392-1144
3400 Erdman Ave
Baltimore, MD 21213
Phone (410) 485-3567
2850 North Ridge Rd
Ste 203
Ellicott City, MD 21043
Phone (410) 480-2803
65 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 663-3836
347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181
1346 S Division St
Ste 103
Salisbury, MD 21804
Phone (410) 749-2599
6508 Deer Pointe Dr
Salisbury, MD 21804
Phone (410) 742-6016
515 Fairmount Ave
Fl 9
Towson, MD 21286
Phone (410) 494-7671
515 Fairmount Ave
#9
Towson, MD 21286
100F Walkers Village Way
Walkersville, MD 21793
175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340
30 Canton St
Ste 13
Manchester, NH 03103
Phone (603) 625-1670
5123 Juan Tabo Blvd NE
Ste 1
Albuquerque, NM 87111
1831 Camino del Llano
Belen, NM 87002
Phone (505) 864-1600
Practitioners & affiliated clinicians
Practitioners 56
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Woonsocket, RI
- NPI 1912464819
-
- Primary Care Nurse Practitioner
- Clinton, MD
- NPI 1699186676
-
- Internal Medicine Physician
- Salisbury, MD
- NPI 1407039043
-
- Family Nurse Practitioner
- Troy, VA
- NPI 1700099389
-
- Family Nurse Practitioner
- Upper Marlboro, MD
- NPI 1952642357
-
- Medical Physician Assistant
- Penacook, NH
- NPI 1528318565
-
- Family Nurse Practitioner
- Madison, AL
- NPI 1396405643
-
- Nurse Practitioner
- Birmingham, AL
- NPI 1538697784
-
- Addiction Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1770575326
-
- Family Nurse Practitioner
- Baltimore, MD
- NPI 1528641560
-
- Family Nurse Practitioner
- New Church, VA
- NPI 1881694248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523491200000",
"number": "1194774943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42738",
"city": "TOWSON",
"state": "MD",
"postal_code": "212842738",
"telephone_number": "860-687-3629",
"fax_number": "860-687-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 COMMONWEALTH AVENUE",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862707",
"telephone_number": "401-739-4241",
"fax_number": "401-732-3358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS ELDER CARE PHYSICIAN SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2018-04-12",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "DIR OF BUS OPS",
"authorized_official_telephone_number": "410-494-7607"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "RI",
"license": "NPP37084",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9004790",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.