NPIMap

Organization Active NPI

Genesis Ivdrips & Wellness LLC

  • Home Infusion Agency
  • Camden, NJ
National Provider Identifier
1750966206
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
GENESIS IVDRIPS & WELLNESS LLC
Practice address
442 Broadway
Camden, NJ 08103-1246
Phone
(856) 246-1070
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Evelyn Mankah AwundagaNPI 1538527064
Title
Ceo
Phone
(856) 246-1070

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
Home Infusion Agency 251F00000X Primary

Addresses

Primary practice location

442 Broadway
Camden, NJ 08103-1246

Mailing address

442 Broadway
Camden, NJ 08103-1246
Phone (856) 246-1070

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": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1750966206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031246",
            "telephone_number": "856-246-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031246",
            "telephone_number": "856-246-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS IVDRIPS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "AWUNDAGA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "MANKAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-246-1070"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.