Richard E. Genovese, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

1625 Issued in MA

Practice address

31 Lake St
Suite 151
Gardner, MA 01440-3889

Phone

(978) 632-5722

Fax

(978) 630-3240

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• McCauley Chiropractic Center, P.C.

  • Chiropractor
  • Gardner, MA
  • NPI 1316156136
  NPD

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1851381065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LAKE ST STE 151",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403889",
            "telephone_number": "978-632-5722",
            "fax_number": "978-630-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LAKE ST",
            "address_2": "SUITE 151",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403889",
            "telephone_number": "978-632-5722",
            "fax_number": "978-630-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "1652",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1625",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MA",
            "license": "1625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341975",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Garza
• Marisa Anne Gaudet
• Nicole Genis, AUD
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• George Krasowski MD
• Sarah E Gilbert, MD
• Kristin J Gingras, NP
• Diane Michele Girard-Simone, PT, M. OF ED.
• Jessica Goodfield, LICSW

• Primary Podiatric Medicine Podiatrist in Gardner, MA
• Providers in Gardner, MA by specialty
• Primary Podiatric Medicine Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.