Individual provider Active NPI

Mayreli Genao, DME SPECIALIST

  • Durable Medical Equipment & Medical Supplies
  • Perth Amboy, NJ
National Provider Identifier
1619265667
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
452712884 Issued in NJ
Practice address
471 New Brunswick Ave
Perth Amboy, NJ 08861-3646
Phone
(732) 324-8700
Fax
(732) 324-8702
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 452712884 NJ Primary

Addresses

Primary practice location

471 New Brunswick Ave
Perth Amboy, NJ 08861-3646

Mailing address

471 New Brunswick Ave
Perth Amboy, NJ 08861-3646
Phone (732) 324-8700

Other identifiers 1

IdentifierTypeStateIssuer
452712884OtherNJTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genao'S Medical Supply LLC Durable Medical Equipment & Medical Supplies Current Accepting new patients
Genao'S Medical Supply LLC Durable Medical Equipment & Medical Supplies CurrentSince Jul 16, 2023 Accepting new patients

Locations

471 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-7800

Organizations & group practices 2

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1619265667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613646",
            "telephone_number": "732-324-8700",
            "fax_number": "732-324-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613646",
            "telephone_number": "732-324-8700",
            "fax_number": "732-324-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENAO",
        "first_name": "MAYRELI",
        "credential": "DME SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "452712884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "452712884",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.