Active NPI
Genao'S Medical Supply LLC
- Durable Medical Equipment & Medical Supplies
- Perth Amboy, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mayreli Genao, DME SPECIALIST
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60096699 | Other | NJ | HORIZON NJ HEALTH |
| 01640863 | Other | NJ | AMERIGROUP OF NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120123000734 | NJ | DME Supplier - Medical Supply Company | 0244407849 | Practice locations: Perth Amboy, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Durable Medical Equipment & Medical Supplies
- Perth Amboy, NJ
- NPI 1770262123
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Perth Amboy, NJ
- NPI 1619265667
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.