Genova Chiropractic Center,PC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38MC00364200 Issued in NJ

Legal business name

GENOVA CHIROPRACTIC CENTER,PC

Practice address

484 Delsea Dr
Sewell, NJ 08080-9327

Phone

(856) 582-2112

Fax

(856) 582-2290

NPI assigned

Nov 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Charles John Genova, D.C.NPI 1417008277

Title

President

Phone

(856) 582-2112

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, and the practitioner matching its NPPES authorized official.

• Charles John Genova, DC,CCSP

  • Sports Physician Chiropractor
  • Sewell, NJ
  • NPI 1417008277
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1447527759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 DELSEA DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809327",
            "telephone_number": "856-582-2112",
            "fax_number": "856-582-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 DELSEA DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809327",
            "telephone_number": "856-582-2112",
            "fax_number": "856-582-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOVA CHIROPRACTIC CENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "GENOVA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-582-2112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00364200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Stuart Garner, D.C.
• Eddy Garrido, MD
• Frank Richard Gasparovic Jr., DC
• Generace Group LLC
• Genoa Healthcare LLC
• Charles John Genova, DC,CCSP
• Kimberly Geremia
• Kristen Gerrone, PHARM D
• Jenna Delaney Gervasi
• Candace Michelle Ghaul, CRNA

• Sports Physician Chiropractor in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.