Organization
GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC
Active
Organization
GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. GANON DO (MEDICAL DIRECTOR)
(973) 862-4297
Entity
Organization
Contact information
Practice address
179 HIGH ST STE 101, NEWTON, NJ 07860-1010
(973) 862-4297
(973) 327-7760
Mailing address
179 HIGH ST STE 101, NEWTON, NJ 07860-1010
(973) 862-4297
(973) 327-7760
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
25MB05783900
NJ
Other
Enumeration date
04/20/2018
Last updated
06/28/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up