Anthony Gentile, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

041757 Issued in NY

Practice address

469 Hawkins Ave
Suite 101
Lake Ronkonkoma, NY 11779-4276

Phone

(631) 588-8280

Fax

(631) 588-6258

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sachem Dental Group

  • General Practice Dentistry
  • Lake Ronkonkoma, NY
  • NPI 1568478196
  NPD (past) Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023025277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 HAWKINS AVE",
            "address_2": "SUITE 101",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794276",
            "telephone_number": "631-588-8280",
            "fax_number": "631-588-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 HAWKINS AVE",
            "address_2": "SUITE 101",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794276",
            "telephone_number": "631-588-8280",
            "fax_number": "631-588-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Parker Fremont, LPN
• Katarina Fuchs
• Jose Nahun Galeas Soriano, M.D.
• Karen Gellert
• Genovese Drug Stores Inc
• Andrew Georgakopoulos, DDS
• George D Emmons DPM PC
• Kian Gilardi
• Liane Marie Gilardi, BCCS
• Altagrace Gilbert Blanchard

• Dentist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.