Active NPI
Jodi M Gentili
- Pain Clinic/Center
- Brooklyn, NY
National Provider Identifier
1588044697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 005539
- Legal business name
- JODI M GENTILI
- Practice address
- 301 Vanderbilt Ave
Apt 2
Brooklyn, NY 11205-3604 - Phone
- (401) 714-2182
- Fax
- (212) 223-0198
- NPI assigned
- Jun 3, 2015
- 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
- Jodi M Gentili
- Title
- President
- Phone
- (401) 714-2182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 005539 | NY | Primary |
Addresses
Primary practice location
301 Vanderbilt Ave
Apt 2
Brooklyn, NY 11205-3604
Mailing address
301 Vanderbilt Ave
Apt 2
Brooklyn, NY 11205-3604
Phone (401) 714-2182
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433289600000",
"number": "1588044697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 VANDERBILT AVE",
"address_2": "APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112053604",
"telephone_number": "401-714-2182",
"fax_number": "212-223-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 VANDERBILT AVE",
"address_2": "APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112053604",
"telephone_number": "401-714-2182",
"fax_number": "212-223-0198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JODI M GENTILI",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-03",
"last_updated": "2015-06-03",
"status": "A",
"authorized_official_last_name": "GENTILI",
"authorized_official_first_name": "JODI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-714-2182"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NY",
"license": "005539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.