Individual provider Active NPI

David R Gentile, MD

  • Orthopaedic Surgery Physician
  • Tinton Falls, NJ
National Provider Identifier
1023095007
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MA061631 Issued in NJ
Practice address
776 Shrewsbury Ave
Suite 201
Tinton Falls, NJ 07724-3006
Phone
(732) 530-4949
Fax
(732) 530-3618
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MA061631 NJ Primary

Addresses

Primary practice location

776 Shrewsbury Ave
Suite 201
Tinton Falls, NJ 07724-3006

Mailing address

776 Shrewsbury Ave
Suite 201
Tinton Falls, NJ 07724-3006
Phone (732) 530-4949

Other identifiers 8

IdentifierTypeStateIssuer
945863OtherNJPHS/GUARDIAN
3222403MedicaidNJ
P2985882OtherNJOXFORD
1040002OtherNJAETNA
1841743OtherNJUNITED HEALTHCARE
300887600OtherNJUS DEPT OF LABOR
J29975OtherNJHEALTHNET
7628005MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000615 NJ Practitioner - Orthopedic Surgery 1850280645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rutgers New Jersey Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Orthopaedic Assoc PAGroup PAC ID 5597654475, 22 clinicians

Practice addresses (Care Compare)

776 Shrewsbury Ave
Suite 201
Tinton Falls, NJ 07724-4507
Phone 7325304949240

Hospital & facility affiliations

  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA061631NJMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Orthopaedic Assoc PA Orthopaedic Surgery CurrentSince Jul 1, 1997 Accepting new patients

Locations

303 W Main St
Ste 1
Freehold, NJ 07728
Phone (732) 577-0027

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

776 Shrewsbury Ave
Ste 102
Tinton Falls, NJ 07724
Phone (732) 590-4949

776 Shrewsbury Ave
Ste 201
Tinton Falls, NJ 07724
Phone (732) 530-4949

776 Shrewsbury Ave
Tinton Falls, NJ 07724
Phone (732) 530-4949

776 Shrewsbury Ave
Ste 105
Tinton Falls, NJ 07724
Phone (732) 530-4949

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

1430 Hooper Ave
Ste 101
Toms River, NJ 08753

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1023095007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "SUITE 201",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-530-4949",
            "fax_number": "732-212-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 SHREWSBURY AVE",
            "address_2": "SUITE 201",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243006",
            "telephone_number": "732-530-4949",
            "fax_number": "732-530-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA061631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS/GUARDIAN",
            "identifier": "945863",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3222403",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2985882",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1040002",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1841743",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "300887600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J29975",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7628005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

Verify at the official NPI Registry.