Organization Active NPI

Genfit Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Ridgewood, NJ
National Provider Identifier
1861013401
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
GENFIT THERAPY LLC
Practice address
143 E Ridgewood Ave Ste 1169
Ridgewood, NJ 07450-3815
Phone
(973) 518-0361
NPI assigned
May 6, 2020
Last updated
May 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Authorized official

Name
William Powell
Title
Ceo
Phone
(973) 518-0361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

143 E Ridgewood Ave Ste 1169
Ridgewood, NJ 07450-3815

Mailing address

143 E Ridgewood Ave Ste 1169
Ridgewood, NJ 07450-3815

National Provider Directory

National Provider Directory

Locations

143 E Ridgewood Ave
Ste 1169
Ridgewood, NJ 07450
Phone (973) 518-0361

NPI Registry JSON

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588723200000",
    "number": "1861013401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E RIDGEWOOD AVE STE 1169",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E RIDGEWOOD AVE STE 1169",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503815",
            "telephone_number": "973-518-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENFIT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-518-0361"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.