Nicole Elyse Gentile, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105794 Issued in FL

Practice address

4331 N Federal Hwy Ste 400
Oakland Park, FL 33308-5252

Phone

(954) 772-0416

Fax

(954) 772-5716

NPI assigned

Dec 14, 2010

Sex

Female

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 FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schweiger Dermatology Group PAGroup PAC ID 9234239757, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: ngentile@clearly.emadirect.md

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.

• Schweiger Dermatology Group PA

  dba Schweiger Dermatology Group

  • Dermatology Physician
  • Leesburg, FL
  • NPI 1598843914
  Medicare reassignment Care Compare group
• Clearly Derm, LLC

  • Specialist
  • Boynton Beach, FL
  • NPI 1487947008
  Medicare reassignment
• Pathology Medical Laboratories

  • Clinical Medical Laboratory
  • Leesburg, FL
  • NPI 1003896853
  NPD (past)
• S FL Behavioral Health Assoc, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hallandale Beach, FL
  • NPI 1699538140
  NPD (past)

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073816005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 N FEDERAL HWY STE 400",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333085252",
            "telephone_number": "954-772-0416",
            "fax_number": "954-772-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "NICOLE",
        "middle_name": "ELYSE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gateway to Wellness LLC
• Laura Beth Geisenheimer, M.S., CCC-SLP
• General Family Rehab Inc
• Genesiscare USA of Florida LLC (Crescimano & Pintauro Associates)
• Genesiscare USA of Florida LLC (Lauderdale Urology Associates)
• Gentle Dental Group Corp
• Shirlyn George
• Bradley Paul Gerhard, DC
• Barbara Gibson, D.TH.
• Kevin A Giordano, PT, DPT, PHD, CSCS

• Physician Assistant in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.