NPIMap

Organization Active NPI

Genesis Healthcare United States

  • General Practice Physician
  • Trenton, NJ
National Provider Identifier
1740744366
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GENESIS HEALTHCARE UNITED STATES
Practice address
105 Monument PL
Trenton, NJ 08618-3955
Phone
(800) 813-9036
Fax
(866) 410-7649
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Dr. Ericka Victoria Vernon, ND, PSYD, MFCTNPI 1669949053
Title
Director
Phone
(800) 813-9036

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

105 Monument PL
Trenton, NJ 08618-3955

Mailing address

105 Monument PL
Trenton, NJ 08618-3955
Phone (800) 813-9036

Other names 1

  • Genesis Healthcare US Doing business as

National Provider Directory

National Provider Directory

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": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1740744366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MONUMENT PL",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183955",
            "telephone_number": "800-813-9036",
            "fax_number": "866-410-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MONUMENT PL",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183955",
            "telephone_number": "800-813-9036",
            "fax_number": "866-410-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE UNITED STATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-813-9036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, PSYD, MFCT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Healthcare US",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.