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

Dr. Nicholas Paul Genovese, DO

Individual provider Pediatrics Physician · NPI 1336879410

Dr. Nicholas Paul Genovese, DO is a Pediatrics Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
Phone: (215) 456-7595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OT022047 (PA)

Record details

NPI number1336879410
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022

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