Gina Marie Gennaro, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

125200 Issued in NY

Practice address

37 Clymer St
Port Jefferson Station, NY 11776-3911

Phone

(631) 827-6011

NPI assigned

Apr 7, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1154900926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CLYMER ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763911",
            "telephone_number": "631-827-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CLYMER ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763911",
            "telephone_number": "631-827-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNARO",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "125200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne C Garito, LCSW
• Staciann Garry
• Gastroenterology Associates of Suffolk, P.C.
• Thomas Geantasio
• Julio Genao, LMT
• Genovese Drug Stores Inc (Rite Aid Pharmacy 10658)
• Jerry Jacob George, D.O.
• Charles P Gerace, L-CSW
• Gerald Cole,D.M.D.,P.C.
• Kenneth Mark Gerber, DDS

• Licensed Practical Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.