Genesis Ketamine Centers
NPI 1730886888 · Anesthesiology Physician · Bala Cynwyd, PA
Genesis Ketamine Centers is a Anesthesiology Physician organization in Bala Cynwyd, PA (NPI 1730886888).
Provider details
- NPI number
- 1730886888
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Shaw, Practice Manager(267) 361-0315
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2701 E Oakland Park Blvd Ste DFort Lauderdale, FL 33306-1655Phone: (754) 225-6412
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Frequently asked questions
- What is Genesis Ketamine Centers's NPI number?
- Genesis Ketamine Centers's National Provider Identifier (NPI) is 1730886888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Genesis Ketamine Centers?
- Genesis Ketamine Centers is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Genesis Ketamine Centers located?
- Genesis Ketamine Centers's practice location on file with NPPES is 1 Bala Ave Ste 418, Bala Cynwyd, PA 19004-3207.
- What is Genesis Ketamine Centers's phone number?
- The practice phone number listed in the NPPES registry for Genesis Ketamine Centers is (267) 361-0315.
- Who is the authorized official for Genesis Ketamine Centers?
- The authorized official listed on Genesis Ketamine Centers's NPPES record is Kelly Shaw, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Genesis Ketamine Centers's NPI active?
- Yes — Genesis Ketamine Centers's NPI (1730886888) is active in the NPPES registry as of the last update on 2023-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.