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GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC
NPI 1487141883
Family Medicine - Addiction Medicine in Newton, NJ

Active since April 20, 2018
179 HIGH ST STE 101, NEWTON, NJ 07860(973) 862-4297(973) 327-7760 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2021, Jun 16, 2018, Apr 20, 2018 (3 updates tracked since 2018).

About Genesis Addiction And Behavioral Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC (NPI 1487141883) is a healthcare organization registered as an addiction medicine in Newton, New Jersey and active in the NPI registry since April 2018. The organization lists Michael R. Ganon, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487141883
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameGENESIS ADDICTION AND BEHAVIORAL MEDICINE, LLC
Location Address179 HIGH ST STE 101Newton, NJ 07860-1010
Mailing Address179 High St Ste 101Newton, NJ 07860-1010 · (973) 862-4297 · Fax (973) 327-7760
Phone(973) 862-4297
Fax(973) 327-7760
Organization SubpartNo
Authorized OfficialMichael R. GanonMedical Director · (973) 862-4297
Enumeration DateApril 20, 2018
Last NPPES UpdateJune 28, 20233 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1487141883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in NJ · 25MB05783900
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
179 HIGH ST STE 101, Newton, NJ 07860
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL R. GANON D.O.
Family Medicine (Addiction Medicine)
179 HIGH ST STE 101
NEWTON, NJ 07860
Sussex County (973) 862-4297

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Addiction And Behavioral Medicine, LLC's NPI number?

The NPI number for Genesis Addiction And Behavioral Medicine, LLC is 1487141883. It was assigned to this organization in the NPPES registry on April 20, 2018.

Where is Genesis Addiction And Behavioral Medicine, LLC located?

Genesis Addiction And Behavioral Medicine, LLC is located at 179 High St Ste 101, Newton, NJ 07860. The listed phone number is (973) 862-4297.

What is Genesis Addiction And Behavioral Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Genesis Addiction And Behavioral Medicine, LLC was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.