Charles Raymond Genovese Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.015669 Issued in LA

Practice address

312 East Railroad Avenue
Independence, LA 70443

Phone

(985) 878-4183

Fax

(985) 878-3830

NPI assigned

Jul 26, 2006

Last updated

Dec 27, 2024By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles R Genovese Jr MD Inc

  • Specialist
  • Independence, LA
  • NPI 1609177864
  Authorized official Same address or phone
• First Down Healthcare

  • Pain Clinic/Center
  • Metairie, LA
  • NPI 1740995521
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1891719985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 BARRON ST STE C210",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025798",
            "telephone_number": "504-887-3142",
            "fax_number": "504-837-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 EAST RAILROAD AVENUE",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "70443",
            "telephone_number": "985-878-4183",
            "fax_number": "985-878-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVESE",
        "first_name": "CHARLES",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "015669",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.015669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335681",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laquanta Deondrigue Fontenot, NP
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• Angelina Franklin Foster, CMA
• Todd E Fricker, RPH
• Agustin A Garcia Caballero Monge, M.D.
• Samantha Davis Gill, B.S.,L-SLP-ASSISTANT
• Casey L Hastings, M.D., M.P.H.
• Healing Hearts Healthcare Agency, LLC
• Georga Helmer, C.R.N.A.
• James C Hess, MD

• Internal Medicine Physician in Independence, LA
• Providers in Independence, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.