Active NPI
Gerald Ente, M.D.
- Pediatric Adolescent Medicine Physician
- Mineola, NY
National Provider Identifier
1184713638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 078228
- Practice address
- 344 1St St
Mineola, NY 11501-3733 - Phone
- (516) 873-3683
- Fax
- (516) 873-3684
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 078228 | NY | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 078228 | NY | Primary |
Addresses
Primary practice location
344 1St St
Mineola, NY 11501-3733
Mailing address
344 1St St
Mineola, NY 11501-3733
Phone (516) 873-3683
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20760204 | Other | NY | PHCS |
| 2696188 | Other | NY | GHI |
| 000030152240 | Other | NY | FIDELIS |
| 078228 | Other | NY | HIP |
| 141951 | Other | NY | EMPIRE BCBS |
| 4094489 | Other | NY | US HEALTH PPO |
| 000233940101 | Other | NY | HEALTHPLUS |
| 100015359 | Other | NY | AFFINITY |
| 11300 | Other | NY | VYTRA |
| 20041 | Other | NY | USHEALTH |
| 3C4748 | Other | NY | HEALTHNET/ACS |
| 12981301 | Other | NY | UNITED HEALTHCARE |
| AA50714A | Other | NY | MDNY |
| 00108383 | Medicaid | NY | |
| 0580321013 | Other | NY | SIGNA |
| 15949P | Other | NY | HIP PRISS# |
| 078228B27 | Other | NY | HEALTHFIRST |
| 6B2281 | Other | NY | EMPIRE |
| AP107 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078228 | NY | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mineola Pediatrics P.C. | Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Mineola, NY
- NPI 1932348356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1184713638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013733",
"telephone_number": "516-873-3683",
"fax_number": "516-873-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 1ST ST",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013733",
"telephone_number": "516-873-3683",
"fax_number": "516-873-3684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENTE",
"first_name": "GERALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "078228",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "078228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "20760204",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2696188",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "000030152240",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "078228",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "141951",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH PPO",
"identifier": "4094489",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUS",
"identifier": "000233940101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY",
"identifier": "100015359",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "11300",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHEALTH",
"identifier": "20041",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET/ACS",
"identifier": "3C4748",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "12981301",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AA50714A",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00108383",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIGNA",
"identifier": "0580321013",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP PRISS#",
"identifier": "15949P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "078228B27",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "6B2281",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AP107",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.