Genesis Wellness Medical Center Llc
LBN: Genesis Wellness Medical Center Llc
Genesis Wellness Medical Center Llc is an health care organization with primary practice located at 1544 Kuser Rd Ste C1 , Hamilton NJ 08619-3830. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty.
Genesis Wellness Medical Center Llc can be contacted via phone (609) 585-3640, or through Tawadrous, Alfred R via phone (347) 677-3022.
Contact Information
Primary practice address
1544 Kuser Rd Ste C1
Hamilton NJ 08619-3830
Phone: (609) 585-3640
Fax: (609) 585-3620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1154988079 |
|---|---|
| LBN Legal business name | Genesis Wellness Medical Center Llc |
| DBA Doing business as | |
| Authorized official | Tawadrous, Alfred R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2019 |
| Last updated | Apr 6th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154988079 | NPPES |
| New Jersey | MEDICAID | 0447366 |
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