John Thomas Genco, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102834000 Issued in NJ

Practice address

362 Ridgeway St
Mount Holly, NJ 08060-1447

Phone

(609) 267-3230

NPI assigned

May 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mount Holly Family Dentistry LLC

  • Dental Clinic/Center
  • Mount Holly, NJ
  • NPI 1619484599
  NPD (past)
• Mt Holly Family Dentistry, PA

  • General Practice Dentistry
  • Mount Holly, NJ
  • NPI 1528116779
  NPD (past)

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1477175388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHELSEA AVE APT 308",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077408165",
            "telephone_number": "732-557-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 RIDGEWAY ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601447",
            "telephone_number": "609-267-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406303",
            "country_code": "US",
            "telephone_number": "732-557-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENCO",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102834000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna G Galindez, MSW, LSW, LCADC
• Richard F Gargiulo, MD
• Pamela A Gasiorowski, MSN, APN, C
• Angela M. Gatto-Rekant, D.D.S.
• Lellah Gbahn
• Albina Gerike, CRNA
• Margaret Getler, DPT
• Baber Ghauri, MD
• Peter Morcos Ibrahim Ghobrial, M.D.
• Victoria Giannone

• General Practice Dentistry in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.