GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC – NPI #1487141883
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC is a provider located in NEWTON, NJ. NPPES has assigned the NPI number 1487141883 to GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC on April 20, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on Jun 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC below.

NPI Profile for
GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC

NPI Number
1487141883
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC
Primary location
179 HIGH ST STE 101
NEWTON, NJ 07860-1010
Phone: (973) 862-4297 Fax: (973) 327-7760
1 Other location(s):
61 Spring St Ste 3
Newton, NJ 07860-2072
Phone: (973) 383-4787
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL GANON
MEDICAL DIRECTOR
Phone: (973) 862-4297
Updated
Certification Date
Jun 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)		 NJ 25MB05783900

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.