Genesis Detox of Brooklyn, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GENESIS DETOX OF BROOKLYN, LLC

Practice address

449 39TH St
Brooklyn, NY 11232-2909

Phone

(718) 633-4673

Fax

(929) 250-2332

NPI assigned

Dec 28, 2016

Last updated

Aug 22, 2023By 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

Mr. Samuel Benitez

Title

Managing Partner/Ceo

Phone

(718) 633-4673

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Constance Diane Pentony-Brown, CASAC-G

  • Addiction (Substance Use Disorder) Counselor
  • Brooklyn, NY
  • NPI 1417215617
  NPD
• Marjorie C Charles, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1205165164
  NPD (past)
• Ramsey H Joudeh, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1174819353
  NPD (past)
• NPI 1255442513

  • NPI 1255442513
  NPD (past)
• Ayesha Audene Williams, NP

  • Acute Care Nurse Practitioner
  • New York, NY
  • NPI 1316374127
  NPD (past)

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1942745088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 39TH ST # 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322909",
            "telephone_number": "718-633-4673",
            "fax_number": "929-250-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 39TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322909",
            "telephone_number": "718-633-4673",
            "fax_number": "929-250-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DETOX OF BROOKLYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MANAGING PARTNER/CEO",
        "authorized_official_telephone_number": "718-633-4673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• General Vision Services LLC
• General Vision Services LLC
• Generation Now Community Development Center, Inc.
• Generational Health by Adult Health NP, P.C
• Generational Wellness NP in Psychiatry PC
• Genesis Fertility and Reproductive Medicine, P.C
• Genesis Home Care (Genesis)
• Genesis PT PC
• Esther Geneslaw
• Emily W. Genetta, MSW, LMSW

• Substance Abuse Rehabilitation Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Substance Abuse Rehabilitation Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.