Genesis Aesthetics LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME97906 Issued in FL

Legal business name

GENESIS AESTHETICS LLC

Practice address

9511 Jagged Creek CT
Delray Beach, FL 33446-9525

Phone

(561) 325-8530

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Carlos Cepeda

Title

Member

Phone

(561) 325-8530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1801293774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 JAGGED CREEK CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 JAGGED CREEK CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469525",
            "telephone_number": "561-325-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "CEPEDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-325-8530"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME97906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Gebauer
• Amy Geissler
• Christopher Gelaj
• Julie A Gelms, PA
• Gem Chiropractic, LLC
• Genesis Community Health, Inc.
• Genesis Critical Care Associates, LLC
• Genesiscare USA of Florida LLC
• Genetics Institute of America Laboratory FL1 Corp
• Victoria A Gensemer, D.P.M.

• Plastic Surgery Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.