Genesis Rehab Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

46TR00692300 Issued in NJ

Legal business name

GENESIS REHAB SERVICES

Practice address

439 Princeton Blvd
Wenonah, NJ 08090-1326

Phone

(856) 404-2194

NPI assigned

Sep 30, 2015

Last updated

Sep 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jaclyn Cory Brown, MS OTR/LNPI 1720538770

Title

Occupational Therapist

Phone

(856) 404-2194

Specialties & licenses 1

Addresses

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.

• Jaclyn Cory Brown, MS, OTR/L

  • Occupational Therapist
  • Wenonah, NJ
  • NPI 1720538770
  NPD (past) Authorized official

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1538539754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 PRINCETON BLVD",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 PRINCETON BLVD",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901326",
            "telephone_number": "856-404-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "856-404-2194",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "46TR00692300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Friedberg, D.C.
• Denise Fryckberg, MSN
• Laura Kathleen Funk
• William Gao, DMD
• Gayatri Rama Assisted Living-Deptford LLC (Twin Ceder)
• Angela Giosia, MS, BCBA
• Nancy Kline Gold, LPC
• Victoria Hastings-Schmidt, P.A.-C
• Linda Helmbrecht, RPH, CCP
• Michele Motria Hernandez, OTR/L

• Skilled Nursing Facility in Wenonah, NJ
• Providers in Wenonah, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.