# NICHOLAS GENOVESE MD INC

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

## Provider details

- **NPI number:** 1831008176
- **Authorized official:** NICHOLAS D GENOVESE MD (PRESIDENT)
- **Authorized official phone:** (908) 239-6938

## Contact information

- **Practice address:** 5395 RUFFIN RD STE 201, SAN DIEGO, CA 92123-1338
- **Practice address phone:** (858) 560-0242
- **Mailing address:** 5395 RUFFIN RD STE 201, SAN DIEGO, CA 92123-1338
- **Mailing address phone:** (908) 239-6938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |

## Other

- **Enumeration date:** 09/03/2026
- **Last updated:** 10/09/2026