| Genesis Regenerative Sports And Aesthetic Medicine | |
|
116 S Euclid Ave Ste 1 Westfield NJ 07090-2187 | |
| (908) 588-2311 | |
| (908) 588-2319 |
| Full Name | Genesis Regenerative Sports And Aesthetic Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 116 S Euclid Ave Ste 1, Westfield, New Jersey |
| Authorized Official Name and Position | Vinay Chopra (OWNER) |
| Authorized Official Contact | 9085882311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Regenerative Sports And Aesthetic Medicine 116 S Euclid Ave Ste 1 Westfield NJ 07090-2187 Ph: (908) 588-2311 | Genesis Regenerative Sports And Aesthetic Medicine 116 S Euclid Ave Ste 1 Westfield NJ 07090-2187 Ph: (908) 588-2311 |
| NPI Number | 1346808045 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 01/13/2023 |
| Medicare PECOS PAC ID | 6800121930 |
|---|---|
| Medicare Enrollment ID | O20190711003271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346808045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| Provider Name | Christian S Gartner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619190675 PECOS PAC ID: 8527166271 Enrollment ID: I20070605000157 |
| Provider Name | David Wells-roth |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366576845 PECOS PAC ID: 5597866335 Enrollment ID: I20070724000622 |
| Provider Name | Prashant A Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316002553 PECOS PAC ID: 3476645094 Enrollment ID: I20070827000637 |
| Provider Name | Gino Chiappetta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124141858 PECOS PAC ID: 3072677822 Enrollment ID: I20090123000150 |
| Provider Name | Kevin B Dunn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891950366 PECOS PAC ID: 1153515895 Enrollment ID: I20101027000429 |
| Provider Name | Harshpal Singh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437317567 PECOS PAC ID: 3072799394 Enrollment ID: I20120703000196 |
| Provider Name | Vinay Chopra |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730329079 PECOS PAC ID: 2365690419 Enrollment ID: I20120913000722 |
| Provider Name | Nicholas Richard Delaney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558596114 PECOS PAC ID: 4183924418 Enrollment ID: I20151118001522 |
| Provider Name | Matthew Patrick Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457500704 PECOS PAC ID: 6507040953 Enrollment ID: I20190711003484 |
| Provider Name | Maybelle Maningat |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295265346 PECOS PAC ID: 0244653590 Enrollment ID: I20200706001859 |
| Provider Name | William M Marano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710388962 PECOS PAC ID: 0345562567 Enrollment ID: I20200817001739 |
| Provider Name | John David Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275731143 PECOS PAC ID: 1456475060 Enrollment ID: I20210223001628 |
| Provider Name | Nischal Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629657960 PECOS PAC ID: 4688082092 Enrollment ID: I20210426000207 |
| Provider Name | Mohammad Athar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689301368 PECOS PAC ID: 9537535943 Enrollment ID: I20221026000081 |
| Provider Name | Jason W Sedgwick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962993378 PECOS PAC ID: 9032587217 Enrollment ID: I20221118001369 |
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