Individual provider Active NPI

Charles H Geneslaw, M.D.

  • Pediatrics Physician
  • Toms River, NJ
National Provider Identifier
1619940814
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA04611500 Issued in NJ
Practice address
1314 Hooper Ave
Toms River, NJ 08753-2586
Phone
(732) 286-3600
Fax
(732) 286-3927
NPI assigned
Feb 8, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA04611500 NJ Primary

Addresses

Primary practice location

1314 Hooper Ave
Toms River, NJ 08753-2586

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

34 Manchester Ave Ste 201
Forked River, NJ 08731-1366
Phone (609) 242-5041

Other practice location 2

525 Route 70 Ste 1C
Brick, NJ 08723-4022
Phone (732) 279-6537

Other identifiers 5

IdentifierTypeStateIssuer
3389006MedicaidNJ
0K7972OtherNJHEALTHNET
223360408-005OtherNJQUALCARE
0094946OtherNJRAILROAD MEDICARE
VP023OtherNJOXFORD

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
I20060214000261 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7719992684 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Primary Care PC Pediatrics CurrentSince Jan 19, 2026 Accepting new patients
Tidal Emergency Physicians LLC Past Accepting new patients
Dr JM LLC Past Accepting new patients

Locations

525 Route 70
Ste 1C
Brick, NJ 08723
Phone (732) 279-6537

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

34 Manchester Ave
Ste 201
Forked River, NJ 08731
Phone (609) 242-5041

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

1314 Hooper Ave
Ste 2C
Toms River, NJ 08753

Interoperability endpoints

  • Direct secure messaging: cgeneslaw77095@direct.optum.com
  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1619940814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532586",
            "telephone_number": "732-286-3600",
            "fax_number": "732-286-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Manchester Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Forked River",
            "state": "NJ",
            "postal_code": "087311366",
            "country_code": "US",
            "telephone_number": "609-242-5041",
            "fax_number": "609-489-4835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Route 70 Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Brick",
            "state": "NJ",
            "postal_code": "087234022",
            "country_code": "US",
            "telephone_number": "732-279-6537",
            "fax_number": "732-458-6356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENESLAW",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04611500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3389006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K7972",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCARE",
            "identifier": "223360408-005",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0094946",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "VP023",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.