Active NPI
Jessica Lynne Gentile
- Licensed Practical Nurse
- Pittsford, NY
National Provider Identifier
1811235310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 310959-1
- Practice address
- 19 Knickerbocker Rd
Pittsford, NY 14534-3001 - Phone
- (585) 944-8871
- NPI assigned
- Jan 18, 2013
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 310959-1 | NY | Primary |
Addresses
Primary practice location
19 Knickerbocker Rd
Pittsford, NY 14534-3001
Mailing address
19 Knickerbocker Rd
Pittsford, NY 14534-3001
Phone (585) 944-8871
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310959-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1811235310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 KNICKERBOCKER RD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145343001",
"telephone_number": "585-944-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 KNICKERBOCKER RD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145343001",
"telephone_number": "585-944-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILE",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "310959-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsford, NY
- Kanoa General, LMT
- Genesee Valley Group Health Association
- Genesee Valley Group Health Association
- Genesee Valley Group Health Association
- Genesee Valley Group Health Association
- Get-It-Straight Orthodontics, P.C.
- Terry A. Giangreco, D.D.S., M.S.
- Rachel Lauren Giordanella, LMHC
- Samantha M Glarner, RN, FNP-C
- Nathan Glasgow
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.