Genesis Rehab Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GENESIS REHAB SERVICES

Practice address

333 Grand Ave
Englewood, NJ 07631-4356

Phone

(201) 568-0900

Fax

(201) 568-9666

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jeanette Baj, M.S.

Title

Speech Language Pathologist- CF

Phone

(718) 813-0219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1942408075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 6TH AVE",
            "address_2": "APT. 15C",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314356",
            "telephone_number": "201-568-0900",
            "fax_number": "201-568-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BAJ",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST- CF",
        "authorized_official_telephone_number": "718-813-0219",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.