OrganizationActive
Genesis Addiction and Behavioral Medicine, LLC
NPI 1487141883 · Addiction Medicine (Family Medicine) Physician · Newton, NJ
Provider details
- NPI number
- 1487141883
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Ganon, Medical Director(973) 862-4297
- License
- 25MB05783900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
179 High St Ste 101
Newton, NJ 07860-1010
Phone: (973) 862-4297
Fax: (973) 327-7760
Approximate (ZIP-level) locationGet directions
Mailing address
179 High St Ste 101
Newton, NJ 07860-1010
Registry dates
- Enumerated
- 2018-04-20
- Last updated
- 2023-06-28
- Certified
- 2023-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.