Gennaro Family Practice

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

8933 Issued in NH

Legal business name

GENNARO FAMILY PRACTICE

Practice address

15 Town West Rd
Plymouth, NH 03264-3428

Phone

(603) 536-1200

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mary-Catherine Gennaro, DO

Title

Owner

Phone

(603) 536-1200

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366476525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "ANDOVER",
            "state": "NH",
            "postal_code": "032160032",
            "telephone_number": "603-735-6060",
            "fax_number": "603-735-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWN WEST RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643428",
            "telephone_number": "603-536-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENNARO FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENNARO",
        "authorized_official_first_name": "MARY-CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-536-1200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NH",
            "license": "8933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "788360",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30213803",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel Galvin, APRN
• Kayla Garriepy
• Gabriela Anabelle Garza
• Gianna Gately
• Janette E Gaumer, R.D.
• Mary-Catherine Gennaro, DO
• Victor Gennaro, DO
• Genoa Healthcare LLC
• Gentille Health and Aesthetics
• Eric Gibbs, MSED, NHLAT, ATC

• Ph.D. Medical Genetics in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Ph.D. Medical Genetics in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.