# GENESIS COMP CONCUSSION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477340917
- **Authorized official:** DR. VINAY CHOPRA MD (CO-OWNER)
- **Authorized official phone:** (908) 588-2311

## Contact information

- **Practice address:** 116 S EUCLID AVE STE 1, WESTFIELD, NJ 07090-2187
- **Practice address phone:** (908) 588-2311
- **Practice address fax:** (908) 588-2319
- **Mailing address:** 116 S EUCLID AVE STE 1, WESTFIELD, NJ 07090-2187
- **Mailing address phone:** (908) 588-2311
- **Mailing address fax:** (908) 588-2319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2025
- **Last updated:** 04/21/2025