GENESIS MEDICAL DIAGNOSTICS, P.C.
NPI 1598056129
Clinic/Center - Primary Care in New York, NY
About Genesis Medical Diagnostics, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GENESIS MEDICAL DIAGNOSTICS, P.C. (NPI 1598056129) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since April 2011. The organization holds an CLIA Accreditation certificate valid through July 13, 2027 and lists Ruth Chambi Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Genesis Medical Diagnostics, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Genesis Medical Diagnostics, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 33D2181292
Genesis Medical Diagnostic PC · Manhattan, NYFrequently 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 Medical Diagnostics, P.C.'s NPI number?
The NPI number for Genesis Medical Diagnostics, P.C. is 1598056129. It was assigned to this organization in the NPPES registry on April 30, 2011.
Where is Genesis Medical Diagnostics, P.C. located?
Genesis Medical Diagnostics, P.C. is located at 164 E 61st St #1a, New York, NY 10065. The listed phone number is (212) 644-9100.
What is Genesis Medical Diagnostics, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Genesis Medical Diagnostics, P.C. enrolled in Medicare?
Yes. Genesis Medical Diagnostics, P.C. is registered in the Medicare PECOS enrollment system.
When is Genesis Medical Diagnostics, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Genesis Medical Diagnostics, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Genesis Medical Diagnostics, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Genesis Medical Diagnostics, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 33D2181292) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Genesis Medical Diagnostics, P.C. was last updated on April 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Genesis Medical Diagnostics, P.c. · NPI 1598056129
Primary Care organization in New York, New York. Organization record, active in the CMS NPPES registry since April 30, 2011.
## Identity
- **NPI:** 1598056129 (Entity type: Organization)
- **Enumerated:** April 30, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ruth Chambi Johnson, OWNER
## Practice location
- **Address:** 164 E 61ST ST, #1A, New York, NY 10065-8539
- **Phone:** (212) 644-9100 · **Fax:** (212) 644-6116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1598056129) · Data from the CMS NPPES public registry.