Genuine Me of South Jersey Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05576600 Issued in NJ

Legal business name

GENUINE ME OF SOUTH JERSEY INC

Practice address

111 Church Rd
Marlton, NJ 08053

Phone

(609) 828-0097

Fax

(856) 802-0885

NPI assigned

Aug 6, 2014

Organization subpart

No

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

Authorized official

Name

Joanne R Fadool, MSW, LCSWNPI 1558787564

Title

President

Phone

(609) 828-0097

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Genuine Me LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24940/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Joanne Fadool, MSW, LCSW

  • Clinical Social Worker
  • Haddon Township, NJ
  • NPI 1558787564
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1912316639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CRANBURY HILL CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544849",
            "telephone_number": "609-828-0097",
            "fax_number": "856-802-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "609-828-0097",
            "fax_number": "856-802-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE ME OF SOUTH JERSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "FADOOL",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-828-0097",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05576600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSERY CERTIFICATE OF INC (PROFIT)",
            "identifier": "0450088977",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genuine Me LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Genesis Counseling Center, Inc.
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• Genesis Counseling Center, Inc.
• Genteltrans LLC
• Genuardi'S Family Markets LP (GFM)
• Sameh S Georgy
• Fleurdeliz Alabanzas Germodo, N.P.
• Rocco Harry Gervasi, DPT
• Philip Getson, D.O.
• Matthew James Gettings, D.O.

• Clinical Social Worker in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.