GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC (NPI# 1487141883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487141883 |
Entity Type | Organization |
Organization Name | GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC |
Practice Address |
61 Spring St Ste 3 Newton NJ 07860-2072 |
Mailing Address |
284 Lakeview Dr Newton NJ 07860-6857 |
Practice Telephone | 9733834787 |
Mailing Telephone | 9732715976 |
Enumeration Date | 2018-04-20 |
Last Update Date | 2018-06-16 |
Authorized Official Name | DR. MICHAEL R GANON (PHYSICIAN/DIRECTOR) |
Authorized Official Telephone | 9732715976 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
25MB05783900 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
61 SPRING ST STE 3 |
City | NEWTON |
State | NJ |
Zip Code | 07860-2072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841827920 | Alepty Krista Dwyer | Social Worker | 4 High Street, Newton, NJ 07860 | 2020-03-26 |
1588298962 | Gen-tel Medicine, LLC | Clinic/Center | The Center for Prevention and Counseling/dr.ganon, 61 Spring Street, First Floor, Newton, NJ 07860 | 2020-02-25 |
1558849836 | Deanna Brace | Marriage & Family Therapist | 30 Moran Street, 2nd Floor, Newton, NJ 07860 | 2018-07-30 |
1336630599 | Steven Frank Bogart Dds and Hubert Gugala Dmd | Oral & Maxillofacial Surgery | 57 Route 46 Suite 207, Hackettstown, NJ 07860 | 2018-05-23 |
1598141889 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Mill Street, Newton, NJ 07860 | 2015-08-10 |
1962888990 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Ridge Road, Fredon, NJ 07860 | 2015-07-31 |
1407232432 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 James Street, Newton, NJ 07860 | 2015-07-31 |
1841676988 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Stuart Street, Newton, NJ 07860 | 2015-07-30 |
1215313341 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71b Trinity Street, Newton, NJ 07860 | 2015-07-30 |
1467837153 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 51 Ballantine Road, Andover Township, NJ 07860 | 2015-07-23 |
Find all providers in zip 07860 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336497106 | Yolanda I Dagnino | Family Medicine | 39 Anderson Pkwy, Cedar Grove, NJ 07009-1111 | 2012-08-27 |
1386803989 | Emmanuel Nebechukwu Ekulide | Family Medicine | 43 Progress Street, Suburban Treatment Associates, Union, NJ 07083 | 2008-06-09 |
1467642736 | Affiliated Medical Service | Family Medicine | 25 E Front St, Keyport, NJ 07735-1562 | 2007-08-01 |
1467451823 | Lisa Ann Medvetz | Family Medicine | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2005-07-19 |
1043825250 | Recovery Wellness Group | Family Medicine | 205 W Parkway Dr, Egg Harbor Township, NJ 08234-5105 | 2020-09-14 |
1215566393 | Live Life Now Health Group of Nj PC | Family Medicine | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2020-04-02 |
1790329662 | Spero Physicians of New Jersey, PC | Family Medicine | 927 N Main St, Pleasantville, NJ 08232-1451 | 2019-11-04 |
1215588447 | South Jersey Medical Associates | Family Medicine | 1580 Route 9 N, Cape May Court House, NJ 08210-1416 | 2019-09-29 |
1396303459 | Rodney C. Brunson, Do PC | Family Medicine | 201 Tilton Rd Ste 12, Northfield, NJ 08225-1247 | 2019-06-04 |
1427589290 | Comprehensive Wellness, LLC | Family Medicine | 501 Tilton Rd, Egg Harbor City, NJ 08215-5125 | 2017-03-23 |
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.