George Gentchos, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25MA11330600 Issued in NJ

Practice address

495 Jack Martin Blvd
Brick, NJ 08724

Phone

(732) 223-9729

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Georgetown University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Radiologists Professional Association LLCGroup PAC ID 3678621620, 71 clinicians

Ami Atlanticare LLCGroup PAC ID 7113073263, 62 clinicians

Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ami Atlanticare LLC

  • Radiology Clinic/Center
  • Hammonton, NJ
  • NPI 1275762023
  Medicare reassignment Care Compare group NPD
• Atlantic Medical Imaging

  • Specialist
  • Galloway, NJ
  • NPI 1396771556
  Medicare reassignment Care Compare group NPD
• Atlantic Radiologists Professional Association LLC

  • Diagnostic Radiology Physician
  • Atlantic City, NJ
  • NPI 1841438728
  Medicare reassignment Care Compare group NPD
• University of Vermont Medical Center Inc

  • Internal Medicine Physician
  • Burlington, VT
  • NPI 1659309615
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Atlanticare Regional Medical Center

  • General Acute Care Hospital
  • Pomona, NJ
  • NPI 1013919315
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1366463069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 BLACK HORSE PIKE STE 300",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322962",
            "telephone_number": "609-652-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "732-223-9729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_2": "Dept. of Radiology",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-3592",
            "fax_number": "802-847-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTCHOS",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042-0010959",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA11330600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011587",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Gazzara
• Adekunle Gbadamosi, M.D
• Jack Martin Gelb, D.D.S.
• Mina Gendy, PHARM.D
• Genpsych Brick
• Rachel Gentry, LPC, NCC
• Mary Sarah Georgy, MD
• Madison Paige Gerencser, MS
• Chana Gerstel, MA, LAC
• Roger Franklin Gerstl

• Diagnostic Radiology Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Diagnostic Radiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.