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GENESIS INTEGRATIVE MEDICINE LONGEVITY CENTER LLC
NPI 1578299558
Community/Behavioral Health in Lake Como, NJ

Active since August 01, 2022
1716 MAIN ST, LAKE COMO, NJ 07719(732) 681-1000(732) 681-1004 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2022, Aug 1, 2022 (2 updates tracked since 2022).

About Genesis Integrative Medicine Longevity Center Llc NPPES

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

GENESIS INTEGRATIVE MEDICINE LONGEVITY CENTER LLC (NPI 1578299558) is a healthcare organization registered as a community/behavioral health in Lake Como, New Jersey and active in the NPI registry since August 2022. The organization lists Joseph Louro, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1578299558
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGENESIS INTEGRATIVE MEDICINE LONGEVITY CENTER LLC
Location Address1716 MAIN STLake Como, NJ 07719-3052
Mailing Address1716 Main StLake Como, NJ 07719-3052 · (732) 681-1000
Phone(732) 681-1000
Fax(732) 681-1004
Organization SubpartNo
Authorized OfficialJoseph LouroChiropractor · (732) 681-1000
Enumeration DateAugust 1, 2022
Last NPPES UpdateNovember 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1578299558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

1716 MAIN ST, Lake Como, NJ 07719
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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 Integrative Medicine Longevity Center LLC's NPI number?

The NPI number for Genesis Integrative Medicine Longevity Center LLC is 1578299558. It was assigned to this organization in the NPPES registry on August 1, 2022.

Where is Genesis Integrative Medicine Longevity Center LLC located?

Genesis Integrative Medicine Longevity Center LLC is located at 1716 Main St, Lake Como, NJ 07719. The listed phone number is (732) 681-1000.

What is Genesis Integrative Medicine Longevity Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Genesis Integrative Medicine Longevity Center LLC was last updated on November 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.