Organization Active NPI

Ralph L Gentile M D Prof Corp

  • Urology Physician
  • Bronx, NY
National Provider Identifier
1629303276
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
080360 Issued in NY
Legal business name
RALPH L GENTILE M D PROF CORP
Practice address
3130 Grand Concourse
Suite 1S
Bronx, NY 10458-1213
Phone
(718) 295-9400
Fax
(718) 295-8004
NPI assigned
Oct 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Dr. Ralph L. Gentile, M.D.
Title
President
Phone
(718) 295-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 080360 NY Primary

Addresses

Primary practice location

3130 Grand Concourse
Suite 1S
Bronx, NY 10458-1213

Mailing address

3130 Grand Concourse
Suite 1S
Bronx, NY 10458-1213
Phone (718) 295-9400

National Provider Directory

National Provider Directory

Locations

3130 Grand Concourse
Ste 1
Bronx, NY 10458
Phone (718) 295-9400

3130 Grand Concourse
Ste 1S
Bronx, NY 10458
Phone (718) 295-9400

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1629303276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "address_2": "SUITE 1S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "718-295-9400",
            "fax_number": "718-295-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "address_2": "SUITE 1S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "718-295-9400",
            "fax_number": "718-295-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH L GENTILE M D PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-295-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "080360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.