Active NPI
Jennifer Gentile Physical Therapy LLC
- Physical Therapist
- Edgewater, NJ
National Provider Identifier
1417686940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JENNIFER GENTILE PHYSICAL THERAPY LLC
- Practice address
- 725 River Rd Ste 60
Edgewater, NJ 07020-1149 - Phone
- (201) 941-2240
- NPI assigned
- Jun 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer T Gentile, PT, DPT
- Title
- Managing Member
- Phone
- (917) 582-3931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
725 River Rd Ste 60
Edgewater, NJ 07020-1149
Mailing address
359 W Passaic Ave
Bloomfield, NJ 07003-5521
Phone (917) 582-3931
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Edgewater, NJ
- NPI 1073601423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1417686940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 W PASSAIC AVE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070035521",
"telephone_number": "917-582-3931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 RIVER RD STE 60",
"city": "EDGEWATER",
"state": "NJ",
"postal_code": "070201149",
"telephone_number": "201-941-2240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER GENTILE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "917-582-3931",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.