GENESIS WELLNESS MEDICAL CENTER LLC – NPI #1154988079
Physical Medicine & Rehabilitation

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.

GENESIS WELLNESS MEDICAL CENTER LLC is a provider located in HAMILTON TOWNSHIP, NJ. NPPES has assigned the NPI number 1154988079 to GENESIS WELLNESS MEDICAL CENTER LLC on May 27, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was previously updated about 6 years ago on Apr 06, 2020. 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 WELLNESS MEDICAL CENTER LLC below.

NPI Profile for
GENESIS WELLNESS MEDICAL CENTER LLC

NPI Number
1154988079
Enumeration Date

(more than 7 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 WELLNESS MEDICAL CENTER LLC
Primary location
1544 KUSER RD STE C1
HAMILTON TOWNSHIP, NJ 08619-3830
Phone: (609) 585-3640 Fax: (609) 585-3620
1 Other location(s):
901 Route 73 N Ste C
Marlton, NJ 08053-2034
Phone: (856) 581-9711
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALFRED TAWADROUS
MD/MEDICAL DIRECTOR
Phone: (347) 677-3022
Updated
Certification Date
Apr 06, 2020

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.

Identifiers

Identifiers for GENESIS WELLNESS MEDICAL CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ0447366
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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
261QP2300X
- Clinic/Center / Primary Care

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.