Genesis

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GENESIS

Practice address

57 South Second Avenue
Minehill, NJ 07803

Phone

(973) 543-2500

NPI assigned

Dec 10, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Lynn Dickerson

Title

Cota

Phone

(973) 598-9443

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1760785877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SOUTH SECOND AVENUE",
            "city": "MINEHILL",
            "state": "NJ",
            "postal_code": "07803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SOUTH SECOND AVENUE",
            "city": "MINEHILL",
            "state": "NJ",
            "postal_code": "07803",
            "telephone_number": "973-543-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "973-598-9443",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aristides M Estrada, MD
• John Brent Forward, MD
• Lourdes Ayuste Freal
• Kayleigh Galliher, APN, FNP-C
• Ruth Nancy Garet, RD, RDN
• Angelica Giordano, OTR/L
• Elisa Pasia Green, APN-BC
• Ilene M Hershman, MD
• Internal Medicine of Morris County LLC
• Inutrition Health LLC

• Skilled Nursing Facility in Mine Hill, NJ
• Providers in Mine Hill, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.