Organization Active NPI

Genesis Elder Care Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Warwick, RI
National Provider Identifier
1194774943
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
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
Last updated
Apr 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Member of 1

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

Locations (25 of 28)

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

72 Salmon Brook Dr
Glastonbury, CT 06033
Phone (860) 633-5244

545 Palisado Ave
Windsor, CT 06095
Phone (860) 687-3605

1150 Varnum St NE
Ste 312
Washington, DC 20017

118 Enterprise Ct
Columbus, GA 31904

3362 Buckland Sq
Owensboro, KY 42301
Phone (270) 506-4254

462 Main St
Ste 214
Agawam, MA 01001

200 Brickstone Sq
Ste 301
Andover, MA 01810
Phone (978) 247-5142

134 North St
North Reading, MA 01864
Phone (879) 276-2000

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

12145 Elm St
Princess Anne, MD 21853
Phone (410) 651-2204

30434 Mount Vernon Rd
Princess Anne, MD 21853
Phone (410) 543-4705

5400 Old Court Rd
Ste 207
Randallstown, MD 21133
Phone (410) 655-6900

9109 Liberty Rd
Randallstown, MD 21133
Phone (410) 655-7373

108 Christensen Ln
Salisbury, MD 21804
Phone (443) 994-9869

6508 Deer Pointe Dr
Salisbury, MD 21804
Phone (410) 742-6016

801 N Salisbury Blvd
Ste 201
Salisbury, MD 21801
Phone (410) 494-8576

515 Fairmount Ave
#9
Towson, MD 21286

515 Fairmount Ave
Fl 9
Towson, MD 21286
Phone (410) 494-7671

100F Walkers Village Way
Walkersville, MD 21793

300 Spring St
Westbrook, ME 04092
Phone (207) 856-1230

5123 Juan Tabo Blvd NE
Ste 1
Albuquerque, NM 87111

1900 E Main St
Lancaster, OH 43130
Phone (740) 653-8630

4376 Germanna Hwy
Locust Grove, VA 22508
Phone (540) 948-6743

46 Nichols St
Rutland, VT 05701
Phone (802) 775-2941

Practitioners & affiliated clinicians

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 111

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": [],
    "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.

Verify at the official NPI Registry.