Genesis Medical Diagnostics, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

244276 Issued in NY

Legal business name

GENESIS MEDICAL DIAGNOSTICS, P.C.

Practice address

164 E 61St St
#1A
New York, NY 10065-8539

Phone

(212) 644-9100

Fax

(212) 644-6116

NPI assigned

Apr 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. Ruth Chambi Johnson, M.D.NPI 1598968612

Title

Owner

Phone

(347) 756-1696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

• Ruth Chambi Johnson, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1598968612

  NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304121600000",
    "number": "1598056129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 E 61ST ST",
            "address_2": "#1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658539",
            "telephone_number": "212-644-9100",
            "fax_number": "212-644-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 E 61ST ST",
            "address_2": "#1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658539",
            "telephone_number": "212-644-9100",
            "fax_number": "212-644-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL DIAGNOSTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-30",
        "last_updated": "2011-04-30",
        "status": "A",
        "authorized_official_last_name": "CHAMBI JOHNSON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-756-1696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "244276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philippe Genereux, M.D.
• Charles Generotti, MD
• Nicholas Genes, MD, PHD
• Genesis Foot and Ankle Center Inc
• Genesis Healthcare
• Genesis Wellness Group LLC
• Andrew Geneslaw, MD
• Lyne Geneste, D.O.
• Rachel Geneste, REGISTERED DIETITIAN
• Wendy Fujioka Genestine, MD

• All providers in New York, NY
• Primary Care Clinic/Center in New York

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