Gerard Thomes Genco, GERARD GENCO

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030379-L Issued in PA

Practice address

1030 Green Ridge St
Scranton
Scranton, PA 18509-1929

Phone

(570) 342-5001

Fax

(570) 342-1635

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gerard Genco Professional name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699784884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 GREEN RIDGE ST",
            "address_2": "SCRANTON",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091929",
            "telephone_number": "570-342-5001",
            "fax_number": "570-342-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 GREEN RIDGE ST",
            "address_2": "SCRANTON",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185091929",
            "telephone_number": "570-342-5001",
            "fax_number": "570-342-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENCO",
        "first_name": "GERARD",
        "middle_name": "THOMES",
        "name_prefix": "Dr.",
        "credential": "GERARD GENCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030379-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERARD",
            "last_name": "GENCO",
            "credential": "GERARD GENCO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Geisinger Viewmont Physical Therpy, a Service of GCMC
• Geisinger Viewmont Sleep Center, a Service of GCMC
• Geisinger Viewmont Sleep Disorder Center
• Geisinger Wyoming Valley
• Gemini Recovery Centers at Scranton, LLC
• Louis Genello, DDS
• Amanda Gentile, LPC
• Kenneth W. Gentilezza, M.D.
• Olivia Elizabeth Gentilezza, PA-C
• Nicole A George, LPN

• General Practice Dentistry in Scranton, PA
• Providers in Scranton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.