GENESIS WELLNESS MEDICAL CENTER LLC (NPI# 1154988079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154988079 |
| Entity Type | Organization |
| Organization Name | GENESIS WELLNESS MEDICAL CENTER LLC |
| Practice Address |
1544 Kuser Rd Ste C1 Hamilton NJ 08619-3830 |
| Practice Telephone | 6095853640 |
| Practice Fax Number | 6095853620 |
| Mailing Telephone | 6095853640 |
| Mailing Fax Number | 6095853620 |
| Enumeration Date | 2019-05-27 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | ALFRED R TAWADROUS (MD/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3476773022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0447366 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Route 73 N Ste C, Marlton, NJ 080532034 | 8565819711 |
| Street Address |
1544 KUSER RD STE C1 |
| City | HAMILTON |
| State | NJ |
| Zip Code | 08619-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437237773 | Alfred R Tawadrous | General Practice | 1544 Kuser Rd Ste C1, Hamilton, NJ 08619-3830 | 2006-11-02 |
| 1235502725 | Elsa Templo | Nurse Practitioner | 1544 Kuser Rd Ste C1, Hamilton, NJ 08619-3830 | 2015-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629693569 | Home Instead Senior Care | In Home Supportive Care | 3635 Quakerbridge Road, Hamilton, NJ 08619 | 2020-06-16 |
| 1689143935 | Shannon Nicole Mclaughlin | Specialist/Technologist | 120 Donald Dr, Hamilton, NJ 08619 | 2018-11-15 |
| 1881179349 | Nicole Olivia Jennings | Counselor | 1225-1255 Whitehorse Mercerville Rd, Building B Suite 504, Hamilton, NJ 08619 | 2018-10-01 |
| 1649764739 | Jordana Nicole Arkus | Physician Assistant | 811 Nj-33, Hamilton Township, NJ 08619 | 2018-06-21 |
| 1447744610 | Genoly Caring Center LLC | Nurse Practitioner | 1540 Kuser Rd Ste A3, Hamilton, NJ 08619 | 2018-06-20 |
| 1669964573 | Abhishek Desai | Dentist | 731 Nj-33, Hamilton Township, NJ 08619 | 2018-06-06 |
| 1487182879 | Khushbu M Shah | Pharmacist | Rite Aid 10502 346 Route 33, Mercerville, NJ 08619 | 2017-05-30 |
| 1982130480 | Byung Park | Acupuncturist | 2521 Nottingham Way, Hamilton, NJ 08619 | 2017-05-04 |
| 1396278388 | Next Level Physical Therapy | Physical Medicine & Rehabilitation | 435 Us Highway 130, Hamilton, NJ 08619 | 2017-04-06 |
| 1811434921 | Lauren E Tropiano | Counselor | 3535 Quakerbridge Road, Suite 300, Hamilton, NJ 08619 | 2017-01-26 |
| Find all providers in zip 08619 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841622453 | Pavli Samir Demian | Physical Medicine & Rehabilitation | 2271 Highway 33 Ste 103, Hamilton, NJ 08690-1749 | 2013-08-06 |
| 1730192097 | Lakota Medical, LLC | Physical Medicine & Rehabilitation | 1755 S Erie Hwy Ste A, Hamilton, OH 45011-4145 | 2006-08-15 |
| 1548639339 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 3535 Quakerbridge Rd, Suite 200, Hamilton, NJ 08619-1200 | 2015-09-22 |
| 1679811723 | The Back Rehab Institute | Physical Medicine & Rehabilitation | 1245 Whitehorse Mercerville Rd, Suite 424, Hamilton, NJ 08619-3831 | 2013-01-24 |
| 1265619928 | Nj Spine and Pain Center Inc | Physical Medicine & Rehabilitation | 2111 Klockner Rd, Hamilton, NJ 08690-3403 | 2008-01-24 |
| 1467520692 | Robert A Carabelli | Physical Medicine & Rehabilitation | 1225 Whitehorse Mercerville Rd, Suite 202, Hamilton, NJ 08619-3882 | 2006-12-04 |
| 1588680359 | Rikin J. Patel | Physical Medicine & Rehabilitation | 2501 Kuser Rd Ste 3, Hamilton, NJ 08691 | 2006-07-14 |
| 1639149149 | Aurora S. Payawal Dela Rosa | Physical Medicine & Rehabilitation | 1245 Whitehorse Mercerville Rd, Suite 401, Hamilton, NJ 08619-3831 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846239 | Ferrer Pain Management and Electrodiagnostics LLC | Physical Medicine & Rehabilitation | 647 Main Ave Ste 202, Passaic, NJ 07055-4962 | 2020-06-24 |
| 1700416492 | Nj Vora Health P.c | Physical Medicine & Rehabilitation | 1651 Federspiel St, Fort Lee, NJ 07024-6940 | 2020-01-22 |
| 1659919579 | Amanda Rodriguez | Physical Medicine & Rehabilitation | 50 Galesi Dr Ste 8, Wayne, NJ 07470-4842 | 2019-12-11 |
| 1376006486 | Mgv Medical, LLC | Physical Medicine & Rehabilitation | 48 S Franklin Tpke Ste 104, Ramsey, NJ 07446-2558 | 2019-04-08 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1477032894 | Phoenix Spine and Regenerative Orthopedics LLC | Physical Medicine & Rehabilitation | 105 Raider Blvd Ste 208, Hillsborough, NJ 08844-1528 | 2018-08-07 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1528588829 | Neurological Associates of Newark LLC | Physical Medicine & Rehabilitation | 85 S Harrison St Ste 204, East Orange, NJ 07018-1740 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.