Jason R Genova, LPN
Individual provider Active NPI Licensed Practical Nurse · Castile, NY
NPI 1225628779 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1225628779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 291669 (NY)
- Practice address
- 53 S Main St
Castile, NY 14427-9607 - Phone
- (585) 969-2184
- NPI assigned
- Jan 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291669 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 291669 | NY | Yes |
Addresses
Primary practice location
53 S Main St
Castile, NY 14427-9607
Mailing address
53 S Main St
Castile, NY 14427-9607
Phone (585) 969-2184
Other providers in Castile, NY
- Lucy Mae Bucknam
- Kristy Byers
- Castile Community Medical Center
- Elisha Marie Conklin
- Robert Scott Elwell
- Tonya Lee Helmer
- Marfatia Medical PLLC
- Ripple Mukund Marfatia
- Nicoel Lea Rinehart
- Calvin Lee Schierer
All providers in Castile, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.