Christopher Gennino, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

039660 Issued in CT

Practice address

300 Seaside Ave
Milford, CT 06460-4603

Phone

(203) 876-4100

Fax

(203) 876-4128

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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.

• Advanced Allergy Immunology & Asthma PC

  • Allergy & Immunology Physician
  • Stanford, CT
  • NPI 1780933937

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1649385758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SEASIDE AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604603",
            "telephone_number": "203-876-4100",
            "fax_number": "203-876-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SEASIDE AVE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604603",
            "telephone_number": "203-876-4100",
            "fax_number": "203-876-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNINO",
        "first_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "039660",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN #",
            "identifier": "1396605",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROL SUBSTANCE",
            "identifier": "31306",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin A Gavin, PT, D.P.M
• Julie Ping Gedalecia, PA
• Andrew Geltman, OTR/L
• Marven Gene
• Genesis Medica LLC
• Genoa Healthcare LLC
• Destiny M George, LMSW
• Beth Georger
• Mary M Georgette, MA, LMFT
• Rida Ghani, M.D.

• All providers in Milford, CT
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.