Genophyll Enterprises LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

GENOPHYLL ENTERPRISES LLC

Practice address

1 Deerpark Dr Ste L1
Monmouth Junction, NJ 08852-1920

Phone

(732) 945-0190

NPI assigned

Feb 12, 2021

Organization subpart

No

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

Authorized official

Name

Aditi Luthra

Title

Ceo

Phone

(732) 945-0190

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Svitlik Jr., PH.D, BCLD

  • Clinical Laboratory Director (Non-physician)
  • Naugatuck, CT
  • NPI 1629706908
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1306439138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DEERPARK DR STE L1",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEERPARK DR STE L1",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521920",
            "telephone_number": "732-945-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOPHYLL ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "LUTHRA",
        "authorized_official_first_name": "ADITI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-945-0190"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Monmouth Junction, NJ
• Providers in Monmouth Junction, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.