Organization Active NPI

Gene Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Fort Lee, NJ
National Provider Identifier
1871846154
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GENE MEDICAL GROUP, LLC
Practice address
1101 Palisade Ave
Fort Lee, NJ 07024-6329
Phone
(201) 917-5258
Fax
(201) 917-5290
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Henry Lee
Title
President
Phone
(201) 567-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1101 Palisade Ave
Fort Lee, NJ 07024-6329

Mailing address

1101 Palisade Ave
Fort Lee, NJ 07024-6329
Phone (201) 917-5258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130220000483 NJ Part B Supplier - Clinic/Group Practice 6305091497 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Lee, NJ

National Provider Directory

National Provider Directory

Locations

1101 Palisade Ave
Fort Lee, NJ 07024
Phone (201) 224-8477

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1871846154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246329",
            "telephone_number": "201-917-5258",
            "fax_number": "201-917-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246329",
            "telephone_number": "201-917-5258",
            "fax_number": "201-917-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-567-7725"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.