Healthcare Provider Details
I. General information
NPI: 1437308616
Provider Name (Legal Business Name): ALAN GENSER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/12/2008
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 MICROLAB RD STE 17
LIVINGSTON NJ
07039-1699
US
IV. Provider business mailing address
31 BURNHAM CT
SCOTCH PLAINS NJ
07076-3129
US
V. Phone/Fax
- Phone: 973-992-8181
- Fax:
- Phone: 732-904-6213
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083T0002X |
| Taxonomy | Medical Toxicology (Preventive Medicine) Physician |
| License Number | 25MA05239700 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080T0002X |
| Taxonomy | Pediatric Medical Toxicology Physician |
| License Number | 52397 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RA0401X |
| Taxonomy | Addiction Medicine (Internal Medicine) Physician |
| License Number | 152780 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: