Organization Active NPI

Gentle Medical PC

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1639421282
Registry record updated Dec 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
251120 Issued in NY
Legal business name
GENTLE MEDICAL PC
Practice address
6301 Mill LN
Brooklyn, NY 11234-5512
Phone
(191) 775-6871
NPI assigned
Oct 6, 2012
Last updated
Dec 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2012

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

Authorized official

Name
Dr. Bella Zimilevich, M.D.NPI 1972799161
Title
President
Phone
(917) 756-8717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 251120 NY Primary

Addresses

Primary practice location

6301 Mill LN
Brooklyn, NY 11234-5512

Mailing address

6301 Mill LN
Brooklyn, NY 11234-5512
Phone (718) 942-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121204000370 NY Part B Supplier - Clinic/Group Practice 9335391085 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2049878Gentle Medical, PC6301 Mill Lane, Brooklyn, NY 11234Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1349481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354320000000",
    "number": "1639421282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 MILL LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345512",
            "telephone_number": "718-942-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 MILL LN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345512",
            "telephone_number": "191-775-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-06",
        "last_updated": "2012-12-01",
        "status": "A",
        "authorized_official_last_name": "ZIMILEVICH",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-756-8717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "251120",
            "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 Dec 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.