NPIMap

Organization Active NPI

Genesis

  • Assisted Living Facility
  • Bayville, NJ
National Provider Identifier
1407213267
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
OTR46TR00503400 Issued in NJ
Legal business name
GENESIS
Practice address
20 Pelican Dr
Bayville, NJ 08721-1605
Phone
(732) 269-9335
NPI assigned
Jan 25, 2016
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Mrs. Christin Mary Fingerlin, OTR/LNPI 1356887046
Title
Occupational Therapist
Phone
(732) 269-9335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X OTR46TR00503400 NJ Primary

Addresses

Primary practice location

20 Pelican Dr
Bayville, NJ 08721-1605

Mailing address

20 Pelican Dr
Bayville, NJ 08721-1605
Phone (732) 269-9335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1407213267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PELICAN DR",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211605",
            "telephone_number": "732-269-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PELICAN DR",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087211605",
            "telephone_number": "732-269-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "FINGERLIN",
        "authorized_official_first_name": "CHRISTIN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "732-269-9335",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": "OTR46TR00503400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.