Genesis Services, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GENESIS SERVICES, LLC

Practice address

3200 Baychester Ave
Bronx, NY 10475-1513

Phone

(718) 601-0200

Fax

(718) 601-0201

NPI assigned

Jun 23, 2022

Organization subpart

Yes

Parent organization

GENESIS SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Miles Davis

Title

Admin

Phone

(800) 975-5201

Specialties & licenses 1

Addresses

Other names 1

• Advent Renal Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Genesis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glendale, NY
  • NPI 1962888560

  9335458280

  Same PAC ID

Listed as

Advent Renal CareCCN 332844

Overall star rating

1.0 of 5

Ownership

Profit

Certified

Aug 30, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

15

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Genesis Services LLC2 organizations share this tax ID, including this one

Part of

Genesis Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glendale, NY
  • NPI 1962888560
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Genesis Services, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Glendale, NY
  • NPI 1962888560
  NPPES parent name

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Laith Alzyood, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1396305439

  Dialysis facility

  Care Compare affiliation Name & address match
• Leslie Walter, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1912001249

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1407587017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751513",
            "telephone_number": "718-601-0200",
            "fax_number": "718-601-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751513",
            "telephone_number": "718-601-0200",
            "fax_number": "718-601-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS SERVICES, LLC",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MILES",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "800-975-5201"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advent Renal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marc Generowicz
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• Marie Geneus, LPN
• Joanna Gengo, PA-C
• Joseph Gennardo, RPH
• Judith A. Gennarelli, RDN
• Louis B Gennarelli, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.