Active NPI
David a. Gentile, DO Cacpc
- General Practice Physician
- Bethpage, NY
National Provider Identifier
1861667156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 219158
- Legal business name
- DAVID A. GENTILE, DO CACPC
- Practice address
- 160 Hicksville Rd
Bethpage, NY 11714-3413 - Phone
- (631) 821-4200
- Fax
- (631) 821-6226
- NPI assigned
- Apr 28, 2008
- Last updated
- Mar 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elyse M Falzone
- Title
- Office Manager
- Phone
- (631) 821-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 219158 | NY | Primary |
Addresses
Primary practice location
160 Hicksville Rd
Bethpage, NY 11714-3413
Mailing address
797 Route 25a
Rocky Point, NY 11778-8562
Phone (631) 821-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5509 Merrick Rd
Massapequa, NY 11758
Phone (516) 541-8933
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Rocky Point, NY
- NPI 1821102732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269993600000",
"number": "1861667156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "797 ROUTE 25A",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788562",
"telephone_number": "631-821-4200",
"fax_number": "631-821-6226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 HICKSVILLE RD",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143413",
"telephone_number": "631-821-4200",
"fax_number": "631-821-6226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A. GENTILE, DO CACPC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2010-03-31",
"status": "A",
"authorized_official_last_name": "FALZONE",
"authorized_official_first_name": "ELYSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-821-4200"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "219158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethpage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.