Genesis Metabolics LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GENESIS METABOLICS LLC

Practice address

2801 Morris Ave
Union, NJ 07083-4821

Phone

(908) 851-0455

Fax

(908) 851-0708

NPI assigned

Apr 25, 2018

Last updated

Mar 27, 2025By 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

Susan Ann Russomano, RN BSN

Title

Registered Agent/Member/Manager

Phone

(908) 851-0455

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1952899957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834821",
            "telephone_number": "908-851-0455",
            "fax_number": "908-851-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834821",
            "telephone_number": "908-851-0455",
            "fax_number": "908-851-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS METABOLICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "RUSSOMANO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED AGENT/MEMBER/MANAGER",
        "authorized_official_telephone_number": "908-851-0455",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Union, NJ
• Providers in Union, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.