Genesis Laboratory Management, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

31D1103468 Issued in NJ

Legal business name

GENESIS LABORATORY MANAGEMENT, LLC

Practice address

1912 Route 35 Ste 202
Oakhurst, NJ 07755-2768

Phone

(732) 389-1530

Fax

(732) 389-0352

NPI assigned

Aug 17, 2009

Organization subpart

No

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

Authorized official

Name

Sharron J Fletcher

Title

Cfo

Phone

(908) 692-3154

Specialties & licenses 2

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.

• Haig Minassian, MD

  • Cytopathology Physician
  • Red Bank, NJ
  • NPI 1114986940
  NPD (past)

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1346472859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 ROUTE 35 STE 203",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552768",
            "telephone_number": "732-389-1530",
            "fax_number": "732-389-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 ROUTE 35 STE 202",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552768",
            "telephone_number": "732-389-1530",
            "fax_number": "732-389-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS LABORATORY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "908-692-3154"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "31D1103468",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swaroopa Gadgil, MSPT
• Gajrajrx Corp
• Gajrajrx Corp (Oakhurst Pharmacy)
• Gregory Gambone, PHD
• Lindsay L. Gannon, PA-C
• Richard A Gindi, D.M.D.
• Ferris Ginsberg, D.O.
• Emi J. Girgis, OD
• Alexandra A Gleason, LCSW
• Gorcey Uppal PTRS (Monmouth Gastroenterology)

• Clinical Medical Laboratory in Oakhurst, NJ
• Providers in Oakhurst, 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 Jan 24, 2023; 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.