Donald J Gentile MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DONALD J GENTILE MD PC

Practice address

100 South St Ste 208
Medical Arts Building
Southbridge, MA 01550-4051

Phone

(508) 764-6356

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald Joseph Gentile, MD

Title

President

Phone

(508) 764-6356

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174738942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST STE 208",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504051",
            "telephone_number": "508-764-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH ST STE 208",
            "address_2": "MEDICAL ARTS BUILDING",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015504051",
            "telephone_number": "508-764-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J GENTILE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-764-6356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2055619",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony G Dimatteo, DDS
• Nizam Ud Din
• Eve Marie Dipietro
• Karen R. Distefano
• Craig M Dolphin, MSW, MPS
• Russell D Donnelly, M.D.
• Vivian Marrero Doros, LCSW
• Deborah Dostal, RN
• Ana Maria Dragoiescu, DNP
• Laurie J. Dunleavy, LMHC

• Pediatrics Physician in Southbridge, MA
• Providers in Southbridge, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.