Organization Active NPI

David a. Gentile, DO Cacpc

  • General Practice Physician
  • Bethpage, NY
National Provider Identifier
1861667156
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
219158 Issued in NY
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20080527000798 NY Part B Supplier - Clinic/Group Practice 4688743073 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Point, NY; Wantagh, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.