Michael Timothy Genereux (NPI# 1245590231, PAC ID# 4486967098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245590231 |
| PAC ID by PECOS | 4486967098 |
| Professional Enrollment ID | I20150724010843 |
| Full Name | Michael Timothy Genereux |
| Organization Legal Name | MEETING HOUSE LANE MEDICAL PRACTICE PC |
| Address |
470 Montauk Hwy East Hampton NY 11937 |
| Phone Number | 6313295900 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6800972589 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 470 Montauk Hwy, East Hampton, NY 11937 | 6313295900 | MEETING HOUSE LANE MEDICAL PRACTICE PC |
| 679 Montauk Hwy, Montauk, NY 11954-5340 | 6316683705 | MEETING HOUSE LANE MEDICAL PRACTICE PC |
| Organization Legal Name | MEETING HOUSE LANE MEDICAL PRACTICE PC |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Britt | Nurse Practitioner | Meeting House Lane Medical Practice PC | 715 Roanoke Ave, Suite 7, Riverhead, NY 11901-2769 |
| Christopher Savarese | Nurse Practitioner | Meeting House Lane Medical Practice PC | 740 County Rd, 39a, Southampton, NY 11968-5247 |
| Biju Lukose | Family Medicine | Meeting House Lane Medical Practice PC | 470 Montauk Hwy, East Hampton, NY 11937 |
| Eugene Connolly | Physician Assistant | Meeting House Lane Medical Practice PC | 325 Meeting House Ln, Suite 403, Southampton, NY 11968-7000 |
| Steven B Sobey | Urology | Meeting House Lane Medical Practice PC | 117 Hampton Rd, Southampton, NY 11968-4923 |
| Aleksandra Liberman | Internal Medicine | Meeting House Lane Medical Practice PC | 182 W Montauk Hwy Bldg B, Suite H, Hampton Bays, NY 11946 |
| Steve K Georgopoulos | Gastroenterology | Meeting House Lane Medical Practice PC | 325 Meeting House Ln Bldg, 2 Suite 405, Southampton, NY 11968-5087 |
| Karen B Weisz | Nurse Practitioner | Meeting House Lane Medical Practice PC | 3330 Noyac Rd, Sag Harbor, NY 11963-1930 |
| Rene Molnar | Family Medicine | Meeting House Lane Medical Practice PC | 34 E Montauk Hwy, Suite 4, Hampton Bays, NY 11946-1866 |
| Damian A Marrese | Family Medicine | Meeting House Lane Medical Practice PC | 860 Montauk Hwy, Water Mill, NY 11976-2638 |
| Street Address |
470 MONTAUK HWY |
| City | EAST HAMPTON |
| State | NY |
| Zip | 11937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Biju Lukose | Family Medicine | Meeting House Lane Medical Practice PC | 470 Montauk Hwy, East Hampton, NY 11937 |
| Christopher T Koke | Family Medicine | Meeting House Lane Medical Practice PC | 470 Montauk Hwy, East Hampton, NY 11937 |
| Alex M Aponte | Family Medicine | Meeting House Lane Medical Practice PC | 470 Montauk Hwy, East Hampton, NY 11937 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kinga Koreh | Psychiatry | Family Service League Inc | 316 Accabonac Rd, East Hampton, NY 11937-1932 |
| Jane S Holmes | Clinical Social Worker | Family Service League Inc | 316 Accabonac Rd, East Hampton, NY 11937-1932 |
| Aimee R Geehreng | Clinical Social Worker | Family Service League Inc | 316 Accabonac Rd, East Hampton, NY 11937-1932 |
| Adriana Sviedrys | Optometry | 9 Barns Ln, East Hampton, NY 11937-2201 | |
| Terri A Rauch | Chiropractic | 29 Mcguirk St, East Hampton, NY 11937-2223 | |
| Jerome A Schneir | Family Medicine | 15 Toilsome Ln, East Hampton, NY 11937-2469 | |
| Patricia A Brickley | Clinical Social Worker | 62 Newtown Lane, Suite 201, East Hampton, NY 11937-2483 | |
| Stephen L Friedes | Psychiatry | 62 Newtown Lane, Suite 201, East Hampton, NY 11937-2483 | |
| Frederick J Soroka | Chiropractic | 43 Pantigo Rd, East Hampton, NY 11937-2603 | |
| Nancy Lee Nagle | Clinical Social Worker | 77 Accabonac Rd, East Hampton, NY 11937-2609 | |
| Find all physicians in zip 11937 | |||
| City | EAST HAMPTON |
| Zip Code | 11937 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAST HAMPTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Timothy Genereux.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.