Active NPIOrganization

Genesis Pediatrics Associates, LLC

Pediatrics in West Deptford, New Jersey

NPI Number1285673723
Practice location
297 Westwood Dr, Suite 101, West Deptford, NJ 08096-3144
Fax
856-848-5955
Last updated
August 22, 2020

Genesis Pediatrics Associates, LLC is a healthcare organization based in West Deptford, NJ. Genesis Pediatrics Associates, LLC practices in West Deptford, NJ. The NPI Number for Genesis Pediatrics Associates, LLC is 1285673723 and holds a License No. MA044017 (NJ). The current practice location address for Genesis Pediatrics Associates, LLC is 297 Westwood Dr, Suite 101, West Deptford, NJ 08096-3144 and can be reached out via phone at 856-848-2332 and via fax at 856-848-5955.

Provider Profile Details

NPI Number
1285673723
Provider Name
Genesis Pediatrics Associates, LLC
Provider Entity Type
Organization
Address
297 Westwood Dr, Suite 101, West Deptford, NJ 08096-3144
Phone Number
856-848-2332
Fax Number
856-848-5955
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Gloria Sue Durelli, MD · Co-Owner · 856-848-2332
Provider Enumeration Date
June 6, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
297 Westwood Dr
Suite 101
West Deptford, NJ 08096-3144
Zip
08096-3144
Phone Number
856-848-2332
Fax Number
856-848-5955
West Deptford, NJ 08096Get directions →

Provider Business Mailing Address Details

Address
297 Westwood Dr
Suite 101
West Deptford, NJ 08096-3144
City
West Deptford
State
NJ
Zip
08096-3144
Phone Number
856-848-2332
Fax Number
856-848-5955

License Information

License Number
MA044017
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Genesis Pediatrics Associates, LLC?

The NPI number of Genesis Pediatrics Associates, LLC is 1285673723. It was assigned on June 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Genesis Pediatrics Associates, LLC?

Genesis Pediatrics Associates, LLC is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number MA044017.

Where does Genesis Pediatrics Associates, LLC practice?

The practice location is 297 Westwood Dr, Suite 101, West Deptford, NJ 08096-3144. The office can be reached at 856-848-2332 (phone) or 856-848-5955 (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 1285673723 directly on the NPPES registry website.

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