Organization Active NPI

Genesis Healthcare Management Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Allston, MA
National Provider Identifier
1275857732
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GENESIS HEALTHCARE MANAGEMENT GROUP LLC
Practice address
39 Brighton Ave
Allston, MA 02134-2301
Phone
(401) 840-9200
NPI assigned
Mar 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mr. Bruce G. Rosen, CEO
Title
President
Phone
(401) 726-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

39 Brighton Ave
Allston, MA 02134-2301

Mailing address

39 Brighton Ave
Allston, MA 02134-2301
Phone (401) 726-9200

National Provider Directory

National Provider Directory

Locations

39 Brighton Ave
#2
Allston, MA 02134
Phone (404) 840-5610

39 Brighton Ave
Boston, MA 02134
Phone (617) 254-5805

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": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1275857732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "401-726-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BRIGHTON AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342301",
            "telephone_number": "401-840-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-726-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.