Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genesis Addiction and Behavioral Medicine, LLC

Organization Addiction Medicine (Family Medicine) Physician · NPI 1487141883

Genesis Addiction and Behavioral Medicine, LLC is an Addiction Medicine (Family Medicine) Physician in Newton, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

179 High St Ste 101
Newton, NJ 07860-1010
Phone: (973) 862-4297
Fax: (973) 327-7760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence 25MB05783900 (NJ)

Record details

NPI number1487141883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ganon — Medical Director · (973) 862-4297
NPI enumeratedApril 20, 2018
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address179 High St Ste 101, Newton, NJ 07860-1010