Active NPI
Anastasia Gentles, DO
- Family Medicine Physician
- New York, NY
National Provider Identifier
1780075879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 288611
- Practice address
- 10 Rockefeller PLZ
New York, NY 10020-1903 - Phone
- (212) 332-3700
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 288611 | NY | Primary |
Addresses
Primary practice location
10 Rockefeller PLZ
New York, NY 10020-1903
Mailing address
10 Rockefeller PLZ
New York, NY 10020-1903
Other practice location 1
89-06 135th street
suite 3D
Jamaica, NY 11418
Phone (718) 206-6919
Other practice location 2
38A Classic St
Sherburne, NY 13460-9723
Phone (607) 674-4495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Executive Health Medical Group of New Jersey, PC | Past | Accepting new patients | |
| Form Health Associates Ma, P.C. | Family Medicine | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- anastasiagentles@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1316213184
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1386260594
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547251200000",
"number": "1780075879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ROCKEFELLER PLZ",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100201903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ROCKEFELLER PLZ",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100201903",
"telephone_number": "212-332-3700"
}
],
"practiceLocations": [
{
"address_1": "89-06 135th street",
"address_2": "suite 3D",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "11418",
"country_code": "US",
"telephone_number": "718-206-6919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "38A Classic St",
"address_purpose": "LOCATION",
"city": "Sherburne",
"state": "NY",
"postal_code": "134609723",
"country_code": "US",
"telephone_number": "607-674-4495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENTLES",
"first_name": "ANASTASIA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2019-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "288611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.