Individual provider Active NPI

Elizabeth Gentile, NP

  • Family Nurse Practitioner
  • Troy, NY
National Provider Identifier
1356844534
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342686 Issued in NY
Practice address
2414 15TH St
Troy, NY 12180-1701
Phone
(518) 271-1813
Fax
(518) 271-1931
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342686 NY Primary

Addresses

Primary practice location

2414 15TH St
Troy, NY 12180-1701

Mailing address

2414 15TH St
Troy, NY 12180-1701
Phone (518) 271-1813

Other identifiers 1

IdentifierTypeStateIssuer
342686OtherNYLICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508002150 NY Practitioner - Nurse Practitioner 9032473566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
86.06
Improvement activities
40
Cost
85.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342686NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Care, P.C. CurrentSince Mar 12, 2018 Accepting new patients

Locations

2 Emma Ln
#B
Clifton Park, NY 12065
Phone (518) 271-1813

2414 15th St
Troy, NY 12180
Phone (518) 271-1813

Interoperability endpoints

  • Direct secure messaging: egentile@arthritiscare.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1356844534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801701",
            "telephone_number": "518-271-1813",
            "fax_number": "518-271-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801701",
            "telephone_number": "518-271-1813",
            "fax_number": "518-271-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "342686",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.