Mario Gentile, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

168027 Issued in NY

Practice address

31 Sherman St
Suite 1400
Jamestown, NY 14701-7079

Phone

(716) 665-4656

Fax

(716) 665-4664

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1013016815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SHERMAN ST",
            "address_2": "SUITE 1400",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017079",
            "telephone_number": "716-665-4656",
            "fax_number": "716-665-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SHERMAN ST",
            "address_2": "SUITE 1400",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017079",
            "telephone_number": "716-665-4656",
            "fax_number": "716-665-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "MARIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01084748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wanda Gebauer
• Kaitlin Gedz, PA-C
• Samir M Geleil, MD
• Allison R Genco, MS, CCC-SLP/L
• Taylor Marie Genco, RN
• George W Conner, MD
• Meg George, LCSW
• Gerry Homes Inc
• Thomas Allen Gibbs
• Drew Gibson

• Internal Medicine Physician in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.