Active NPI
Marianna Nicoletta-Gentile, D.O.
- Pediatrics Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 250370
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (973) 656-6280
- Fax
- (973) 290-7495
- NPI assigned
- Sep 9, 2009
- Last updated
- Jul 15, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 250370 | NY | Primary |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
PO Box 416457
Boston, MA 02241-6457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250370 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Pediatrics | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Pediatrics | Current | Accepting new patients |
| HMH Hospitals Corporation | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
19 Davis Ave
Neptune City, NJ 07753
Phone (732) 263-7999
19 Davis Ave
Fl 5
Neptune City, NJ 07753
Phone (732) 776-4860
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
3 Hospital Plz
Ste 407
Old Bridge, NJ 08857
Phone (732) 360-4255
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
- marianna.nicolettagentile@direct.hackensackmeridian.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Pediatrics
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Pediatrics
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1841523800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "973-656-6280",
"fax_number": "973-290-7495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLETTA-GENTILE",
"first_name": "MARIANNA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-09",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "250370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.