Individual provider Active NPI

Ronald Gentile, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1124039854
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
189544 Issued in NY
Practice address
218 Second Ave
Suite 402 South
New York, NY 10003
Phone
(212) 979-4120
Fax
(646) 290-8008
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 189544 NY Primary

Addresses

Primary practice location

218 Second Ave
Suite 402 South
New York, NY 10003

Mailing address

218 Second Ave
Suite 402 South
New York, NY 10003-4201
Phone (212) 979-4120

Other practice location 1

200 Old Country Rd Ste 125
Mineola, NY 11501-4240
Phone (516) 882-3080

Other identifiers 1

IdentifierTypeStateIssuer
01579280MedicaidNY

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000057 NY Practitioner - Ophthalmology 8224109947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald Concetto Gentile MD, PCGroup PAC ID 9537434410, 4 clinicians

Practice addresses (Care Compare)

200 Old Country Rd
Suite 366
Mineola, NY 11501-4240
Phone (212) 979-4120

Hospital & facility affiliations

  • Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189544NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Concetto Gentile MD, PC CurrentSince Feb 15, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jun 1, 2021 Accepting new patients

Locations

200 Old Country Rd
Ste 130
Mineola, NY 11501
Phone (516) 408-4900

200 Old Country Rd
Ste 125
Mineola, NY 11501
Phone (516) 408-4900

200 Old Country Rd
Ste 366
Mineola, NY 11501
Phone (212) 979-4120

310 E 14th St
Rm 3195
New York, NY 10003
Phone (212) 979-4120

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
Ste 319
New York, NY 10003
Phone (212) 979-4500

310 E 14th St
#319
New York, NY 10003
Phone (212) 979-4500

218 2nd Ave
Ste 402
New York, NY 10003
Phone (212) 979-4120

218 2nd Ave
Ste 402S
New York, NY 10003
Phone (212) 979-4120

218 2nd Ave
#402S
New York, NY 10003
Phone (212) 979-4120

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: gronald286699@nyumc.direct-ci.com
  • Direct secure messaging: rgentile2085416@nychhc.direct-ci.com

Organizations & group practices 3

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 1

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1124039854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SECOND AVE",
            "address_2": "SUITE 402 SOUTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034201",
            "telephone_number": "212-979-4120",
            "fax_number": "646-290-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SECOND AVE",
            "address_2": "SUITE 402 SOUTH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-979-4120",
            "fax_number": "646-290-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Old Country Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115014240",
            "country_code": "US",
            "telephone_number": "516-882-3080",
            "fax_number": "646-290-8008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "189544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01579280",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.