Active NPIOrganization

Genovese Primary Care

Family Medicine in Medford, New Jersey

NPI Number1013394998
Practice location
639 Stokes RD, Suite 102, Medford, NJ 08055-3003
Fax
609-245-0419
Last updated
July 10, 2015

Genovese Primary Care is a healthcare organization based in Medford, NJ. Genovese Primary Care practices in Medford, NJ. The NPI Number for Genovese Primary Care is 1013394998 and holds a License No. 25MA08575200 (NJ). The current practice location address for Genovese Primary Care is 639 Stokes RD, Suite 102, Medford, NJ 08055-3003 and can be reached out via phone at 609-245-0416 and via fax at 609-245-0419.

Provider Profile Details

NPI Number
1013394998
Provider Name
Genovese Primary Care
Provider Entity Type
Organization
Address
639 Stokes RD, Suite 102, Medford, NJ 08055-3003
Phone Number
609-245-0416
Fax Number
609-245-0419
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Cynthia Genovese, MD · Owner/Physician · 609-245-0416
Provider Enumeration Date
April 30, 2015
Last Update Date
July 10, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
639 Stokes RD
Suite 102
Medford, NJ 08055-3003
Zip
08055-3003
Phone Number
609-245-0416
Fax Number
609-245-0419
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
639 Stokes RD
Suite 102
Medford, NJ 08055-3003
City
Medford
State
NJ
Zip
08055-3003
Phone Number
609-245-0416
Fax Number
609-245-0419

License Information

License Number
25MA08575200
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Genovese Primary Care?

The NPI number of Genovese Primary Care is 1013394998. It was assigned on April 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Genovese Primary Care?

Genovese Primary Care is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA08575200.

Where does Genovese Primary Care practice?

The practice location is 639 Stokes RD, Suite 102, Medford, NJ 08055-3003. The office can be reached at 609-245-0416 (phone) or 609-245-0419 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013394998 directly on the NPPES registry website.

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