Individual provider Active NPI

Dana Jill Genter, RPA-C

  • Surgical Physician Assistant
  • Franklin Lakes, NJ
National Provider Identifier
1972883130
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00784000 Issued in NJ
Practice address
784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone
(392) 984-4570
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00784000 NJ Primary

Addresses

Primary practice location

784 Franklin Ave
Franklin Lakes, NJ 07417-1306

Mailing address

784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (392) 984-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820003472 NJ Practitioner - Physician Assistant 9133667207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians
Livewell Pain ManagementGroup PAC ID 2668838194, 3 clinicians

Practice addresses (Care Compare)

260 Old Hook Rd
Suite 401
Westwood, NJ 07675-3123
Phone (844) 777-0910

266 Harristown Rd
Glen Rock, NJ 07452-3321
Phone (844) 777-0910

543 45TH St
Union City, NJ 07087-2615
Phone (844) 777-0910

784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

9 Summit Ave
Elmwood Park, NJ 07407-1529
Phone (201) 458-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00784000NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kayal Orthopaedic Center, P.C. PastSince Jun 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: danasilver@nslijmedgr.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1972883130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "392-984-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "392-984-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTER",
        "first_name": "DANA",
        "middle_name": "JILL",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00784000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

Verify at the official NPI Registry.