Gentry Nurse Practitioner in Family Health
Organization Active NPI Family Nurse Practitioner · King Ferry, NY
NPI 1225825110 · NPPES record last updated Apr 5, 2026
Key facts
- NPI
- 1225825110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- GENTRY NURSE PRACTITIONER IN FAMILY HEALTH
- Practice address
- 968 Deer Trail Rd S
King Ferry, NY 13081-8712 - Phone
- (315) 767-3717
- NPI assigned
- Apr 23, 2025
- Organization subpart
- No
Authorized official
- Name
- Donnie Gentry Jr.
- Title
- Owner
- Phone
- (315) 767-3717
Practitioners 1
-
Donnie Gentry Jr., FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250603001049 | NY | Part B Supplier - Clinic/Group Practice | 4082123914 |
Receives reassigned benefits from 1 practitioner Practice locations: King Ferry, NY |
National Provider Directory
Locations
53 Lexington Ave
Ste 400
New York, NY 10010
Phone (607) 299-5929
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
968 Deer Trail Rd S
King Ferry, NY 13081-8712
Mailing address
968 Deer Trail Rd S
King Ferry, NY 13081-8712
Other practice location 1
53 Lexington Ave Ste 400
New York, NY 10010-5585
Phone (607) 299-5929
Other providers in King Ferry, NY
- Mallory E Donigan
- Kerin Elisens Duff
- Karla Eshelman
- Elizabeth H Foster
- Sherry R Gebczyk
- Robert Maurice Godbout
- Angela Grant-Cerasaro
- Libby Danielle Kershner
- Thomas J Laclair
- Lifespan PT OT &SLP Services PLLC
All providers in King Ferry, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.