Organization Active NPI

Genoly Caring Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1447744610
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GENOLY CARING CENTER LLC
Practice address
1540 Kuser Rd Ste A3
Hamilton, NJ 08619
Phone
(609) 585-0022
NPI assigned
Jun 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Chioma G ObiukwuNPI 1891232005
Title
Owner
Phone
(609) 585-0022

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1540 Kuser Rd Ste A3
Hamilton, NJ 08619

Mailing address

1540 Kuser Rd Ste A3
Hamilton, NJ 08619-3828
Phone (609) 585-0022

Other practice location 1

1540 Kuser Rd Ste A3
Hamilton, NJ 08619-3828
Phone (609) 585-0022

Other practice location 2

1540 Kuser Rd Ste A3
Hamilton, NJ 08619-3828
Phone (609) 585-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180802000415 NJ Part B Supplier - Clinic/Group Practice 3870841133 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

941 White Horse Ave
Ste 12
Trenton, NJ 08610
Phone (609) 581-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1447744610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 KUSER RD STE A3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193828",
            "telephone_number": "609-585-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 KUSER RD STE A3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-585-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Kuser Rd Ste A3",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193828",
            "country_code": "US",
            "telephone_number": "609-585-0022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Kuser Rd Ste A3",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086193828",
            "country_code": "US",
            "telephone_number": "609-585-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENOLY CARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "OBIUKWU",
        "authorized_official_first_name": "CHIOMA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-585-0022"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.