Genesis Physician Services

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

SP015869 Issued in PA

Legal business name

GENESIS PHYSICIAN SERVICES

Practice address

212 Marter Ave
Moorestown, NJ 08057-3114

Phone

(856) 291-4800

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Jeanne Marzitelli, DNP, APN-C, CWS

Title

Area Clinical Practice Manager-Ma-S

Phone

(201) 803-6583

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1982053930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573114",
            "telephone_number": "856-291-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573114",
            "telephone_number": "856-291-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "MARZITELLI",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "AREA CLINICAL PRACTICE MANAGER-MA-S",
        "authorized_official_telephone_number": "201-803-6583",
        "authorized_official_credential": "DNP, APN-C, CWS"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PA",
            "license": "SP015869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Michael Gallagher, D.O.
• Thomas M Galski, D.O.
• Nishith M Gami, MD
• Tatiana Gandrabura, M.D
• Brian D Geary, M.D.
• Genesis Rehab Services
• Genesis Rehabilitation
• Charlotte B Genetta, RD
• Deserie Gherardi, P.T.
• Gurbir S Ghuman, DMD

• Nursing Facility/Intermediate Care Facility in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Nursing Facility/Intermediate Care Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.