Healthcare Provider Details

I. General information

NPI: 1952241788
Provider Name (Legal Business Name): J AND H GENESIS ,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812A LONG BEACH BLVD
SHIP BOTTOM NJ
08008-4443
US

IV. Provider business mailing address

1812 LONG BEACH BLVD
SHIP BOTTOM NJ
08008-4443
US

V. Phone/Fax

Practice location:
  • Phone: 609-226-3007
  • Fax: 609-226-3007
Mailing address:
  • Phone: 609-226-3007
  • Fax: 609-226-3007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. HARRY L LARKIN JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 609-226-3007