Genesis Integrative Medicine Longevity Center LLC
Community/Behavioral Health in Lake Como, New Jersey
1578299558- Practice location
- 1716 Main St, Lake Como, NJ 07719-3052
- Phone
- 732-681-1000
- Fax
- 732-681-1004
- Last updated
- November 4, 2022
Genesis Integrative Medicine Longevity Center LLC is a healthcare organization based in Lake Como, NJ. Genesis Integrative Medicine Longevity Center LLC practices in Lake Como, NJ. The NPI Number for Genesis Integrative Medicine Longevity Center LLC is 1578299558. The current practice location address for Genesis Integrative Medicine Longevity Center LLC is 1716 Main St, Lake Como, NJ 07719-3052 and can be reached out via phone at 732-681-1000 and via fax at 732-681-1004.
Provider Profile Details
- NPI Number
- 1578299558
- Provider Name
- Genesis Integrative Medicine Longevity Center LLC
- Provider Entity Type
- Organization
- Address
- 1716 Main St, Lake Como, NJ 07719-3052
- Phone Number
- 732-681-1000
- Fax Number
- 732-681-1004
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Joseph Louro, DC · Chiropractor · 732-681-1000
- Provider Enumeration Date
- August 1, 2022
- Last Update Date
- November 4, 2022
- Certification Date
- October 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1716 Main St
Lake Como, NJ 07719-3052 - City
- Lake Como
- State
- New Jersey
- Zip
- 07719-3052
- Phone Number
- 732-681-1000
- Fax Number
- 732-681-1004
Provider Business Mailing Address Details
- Address
- 1716 Main St
Lake Como, NJ 07719-3052 - City
- Lake Como
- State
- NJ
- Zip
- 07719-3052
- Phone Number
- 732-681-1000
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Lake Como, NJ
View all Community/Behavioral Health providers in Lake Como →- Gabrielle A Bereski, MA, LPC, LCADCCounselor, Mental Health · NPI 1871163683
- Kelsey StrombergPhysical Therapist · NPI 1992686778
- Dr. Elizabeth C Iadisernia, DPTPhysical Therapist · NPI 1316548753
- Thinking To TalkSpeech-Language Pathologist, · NPI 1174042303
- Barbara M Squillace, MS, CCC-SLPSpeech-Language Pathologist, · NPI 1548789282
- Mr. Sean S Lee, LCSWSocial Worker · NPI 1972120350
Frequently Asked Questions
What is the NPI number of Genesis Integrative Medicine Longevity Center LLC?
The NPI number of Genesis Integrative Medicine Longevity Center LLC is 1578299558. It was assigned on August 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Genesis Integrative Medicine Longevity Center LLC?
Genesis Integrative Medicine Longevity Center LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Genesis Integrative Medicine Longevity Center LLC practice?
The practice location is 1716 Main St, Lake Como, NJ 07719-3052. The office can be reached at 732-681-1000 (phone) or 732-681-1004 (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 1578299558 directly on the NPPES registry website.