Active NPIIndividual providerSole proprietor

Richard E Genovese, DPM

Podiatrist, Primary Podiatric Medicine in Gardner, Massachusetts

NPI Number1851381065
Practice location
31 Lake St, Suite 151, Gardner, MA 01440-3889
Fax
978-630-3240
Last updated
March 30, 2021

Richard E. Genovese is a Podiatrist, Primary Podiatric Medicine based in Gardner, MA. Richard E. Genovese practices in Gardner, MA and has the professional credentials of DPM. The NPI Number for Richard E. Genovese is 1851381065 and holds a License No. 1652 (MA). The current practice location address for Richard E. Genovese is 31 Lake St, Suite 151, Gardner, MA 01440-3889 and can be reached out via phone at 978-632-5722 and via fax at 978-630-3240.

Provider Profile Details

NPI Number
1851381065
Provider Name
Richard E. Genovese
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
31 Lake St, Suite 151, Gardner, MA 01440-3889
Phone Number
978-632-5722
Fax Number
978-630-3240
Primary Taxonomy
Podiatrist, Primary Podiatric Medicine · 213EP1101X
Sole Proprietor
Yes
Provider Enumeration Date
October 27, 2005
Last Update Date
March 30, 2021
Certification Date
March 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Lake St
Suite 151
Gardner, MA 01440-3889
Zip
01440-3889
Phone Number
978-632-5722
Fax Number
978-630-3240
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
31 Lake St Ste 151
Gardner, MA 01440-3889
City
Gardner
State
MA
Zip
01440-3889
Phone Number
978-632-5722
Fax Number
978-630-3240

License Information

License Number (1)
1652
License State (1)
MA
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
License Number (2)
1625
License State (2)
MA
Taxonomy (2)
· 213ES0131X
License Number (3)
1625
License State (3)
MA
Taxonomy (3)
Podiatrist, Primary Podiatric Medicine · 213EP1101X · 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 Richard E Genovese, DPM?

The NPI number of Richard E Genovese, DPM is 1851381065. It was assigned on October 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Richard E Genovese, DPM?

Richard E Genovese, DPM is registered under the primary taxonomy Podiatrist, Primary Podiatric Medicine (code 213EP1101X), licensed in MA under license number 1652.

Where does Richard E Genovese, DPM practice?

The practice location is 31 Lake St, Suite 151, Gardner, MA 01440-3889. The office can be reached at 978-632-5722 (phone) or 978-630-3240 (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 1851381065 directly on the NPPES registry website.

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