Philip Gerard Gentile, JD, MSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

6258 Route 209
Stroudsburg, PA 18360-7159

Phone

(610) 653-6993

NPI assigned

Jan 27, 2023

Last updated

Jan 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Philip G Gentile Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

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

• Northbound & Co

  • Peer Specialist
  • Stroudsburg, PA
  • NPI 1124834783
  Authorized official Same address or phone

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1104532621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1698",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180161698",
            "telephone_number": "610-653-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6258 ROUTE 209",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607159",
            "telephone_number": "610-653-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "PHILIP",
        "middle_name": "GERARD",
        "credential": "JD, MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILIP",
            "last_name": "GENTILE",
            "middle_name": "G",
            "credential": "JD, MDW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samantha Garofano
• Camryn Garr
• Alana Marie Genovese, PA-C
• Corey Adrian Genteel, PAC
• Betsy Scully Genthner, CRNP
• Denise Marie Gerenza, MS,CCC/SLP
• John G Giacalone, DC
• Shashank Gidipally, PHARMD
• Harwant S Gill, MD PHD
• John Joseph Glasner IV, O.D.

• Counselor in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.