Organization Active NPI

Genao'S Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Perth Amboy, NJ
National Provider Identifier
1700155017
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENAO'S MEDICAL SUPPLY LLC
Practice address
471 New Brunswick Ave
Perth Amboy, NJ 08861-3646
Phone
(732) 324-7800
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Mayreli Genao, DME SPECIALISTNPI 1619265667
Title
Owner
Phone
(732) 324-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 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) 324-7800

Other identifiers 2

IdentifierTypeStateIssuer
60096699OtherNJHORIZON NJ HEALTH
01640863OtherNJAMERIGROUP OF NJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120123000734 NJ DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 0244407849 Practice locations: Perth Amboy, NJ

National Provider Directory

National Provider Directory

Locations

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1700155017",
    "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": "732-324-7800"
        },
        {
            "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": "732-324-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENAO'S MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "GENAO",
        "authorized_official_first_name": "MAYRELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-324-8700",
        "authorized_official_credential": "DME SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60096699",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP OF NJ",
            "identifier": "01640863",
            "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 Aug 7, 2012; 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.