Individual provider Active NPI

Ronald Emanuel Gennace, M.D.

  • Orthopaedic Surgery Physician
  • North Arlington, NJ
National Provider Identifier
1497836241
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA03331000 Issued in NJ
Practice address
312 Belleville Tpke
Suite 2a
North Arlington, NJ 07031-6463
Phone
(201) 997-8777
Fax
(201) 997-5957
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA03331000 NJ Primary

Addresses

Primary practice location

312 Belleville Tpke
Suite 2a
North Arlington, NJ 07031-6463

Mailing address

312 Belleville Tpke
Suite 2a
North Arlington, NJ 07031-6463
Phone (201) 997-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000904 NJ Practitioner - Orthopedic Surgery 7012987712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Avenue Professional Services, PC CurrentSince Sep 23, 2019 Accepting new patients

Locations

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

312 Belleville Tpke
Ste 2A
North Arlington, NJ 07031
Phone (201) 246-1600

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497836241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TPKE",
            "address_2": "SUITE 2A",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316463",
            "telephone_number": "201-997-8777",
            "fax_number": "201-997-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TPKE",
            "address_2": "SUITE 2A",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316463",
            "telephone_number": "201-997-8777",
            "fax_number": "201-997-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNACE",
        "first_name": "RONALD",
        "middle_name": "EMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA03331000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Arlington, NJ

Sources for this page

Verify at the official NPI Registry.