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GENESIS DETOX OF BROOKLYN, LLC
NPI 1942745088
Substance Abuse Rehabilitation Facility in Brooklyn, NY

Active since December 28, 2016CLIA 33D2149836 · Waiver
449 39TH ST, BROOKLYN, NY 11232(718) 633-4673(929) 250-2332 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 22, 2023, Nov 10, 2020, Aug 25, 2020 and 4 more (7 updates tracked since 2016).

About Genesis Detox Of Brooklyn, Llc NPPES

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

GENESIS DETOX OF BROOKLYN, LLC (NPI 1942745088) is a healthcare organization registered as a substance abuse rehabilitation facility in Brooklyn, New York and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Samuel Benitez, Managing Partner/ceo, as its authorized official.

NPPES Registry Identity

NPI1942745088
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameGENESIS DETOX OF BROOKLYN, LLC
Location Address449 39TH STBrooklyn, NY 11232-2909
Mailing Address449 39th St # 6Brooklyn, NY 11232-2909 · (718) 633-4673 · Fax (929) 250-2332
Phone(718) 633-4673
Fax(929) 250-2332
Organization SubpartNo
Authorized OfficialSamuel BenitezManaging Partner/ceo · (718) 633-4673
Enumeration DateDecember 28, 2016
Last NPPES UpdateAugust 22, 20237 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
✔ NPI 1942745088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
449 39TH ST, Brooklyn, NY 11232
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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 Waiver 33D2149836

Genesis Detox Of Brooklyn LLC · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2149836
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJune 12, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Ramsey Joudeh
Laboratory Phone(718) 633-4673
Laboratory LocationGenesis Detox Of Brooklyn LLC449 39th St, Brooklyn, NY 11232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

JESSICA GIORDANO
Counselor (Mental Health)
449 39TH ST, 2ND FLOOR
BROOKLYN, NY 11232
Kings County (718) 871-2400
RESOURCE RAE OF HOPE, LLC
Rehabilitation, Substance Use Disorder Unit
449 39TH ST, FLOOR 3
BROOKLYN, NY 11232
Kings County (929) 295-2093
BRIAN XUEREB CASAC-T
Counselor (Addiction (Substance Use Disorder))
449 39TH ST
BROOKLYN, NY 11232
Kings County (718) 871-2300
DAISY MORALES CASAC-T
Counselor (Addiction (Substance Use Disorder))
449 39TH ST
BROOKLYN, NY 11232
Kings County (718) 871-2400
MS. CONSTANCE DIANE PENTONY-BROWN CASAC-G
Counselor (Addiction (Substance Use Disorder))
449 39TH ST
BROOKLYN, NY 11232
Kings County (718) 871-2400
MR. PAUL ALVES CASAC-T
Counselor (Addiction (Substance Use Disorder))
449 39TH ST
BROOKLYN, NY 11232
Kings County (718) 871-2400
DELORES ANDERSON LPN
Licensed Practical Nurse
449 39TH ST
BROOKLYN, NY 11232
Kings County (718) 871-2400
MR. MICHAEL TIMOTHY BUCKLEY CASAC
Counselor (Addiction (Substance Use Disorder))
449 39TH ST, 4TH FLOOR
BROOKLYN, NY 11232
Kings County (718) 871-7433

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 Detox Of Brooklyn, LLC's NPI number?

The NPI number for Genesis Detox Of Brooklyn, LLC is 1942745088. It was assigned to this organization in the NPPES registry on December 28, 2016.

Where is Genesis Detox Of Brooklyn, LLC located?

Genesis Detox Of Brooklyn, LLC is located at 449 39th St, Brooklyn, NY 11232. The listed phone number is (718) 633-4673.

What is Genesis Detox Of Brooklyn, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Genesis Detox Of Brooklyn, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2149836) is associated with this NPI, valid through March 26, 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 Detox Of Brooklyn, LLC was last updated on August 22, 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.