Michael John Genco, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

039963 Issued in NY

Practice address

2155 82ND St
Brooklyn, NY 11214-2547

Phone

(718) 232-4155

Fax

(718) 232-3804

NPI assigned

Jun 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871797878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142547",
            "telephone_number": "718-232-4155",
            "fax_number": "718-232-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 82ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142547",
            "telephone_number": "718-232-4155",
            "fax_number": "718-232-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENCO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "039963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Genao
• Jose Genao
• Jose Alberto Genao
• Atilla Genc, MMED
• Ekmel Gencer, RPH
• Esther Gendel
• Donna I. Gendelberg, M.S., LMHC
• Danielle Gendelman
• Valery Gendelman, MA
• Yosri Adly Gendi, PT

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.