Individual provider Active NPI

Corey Adrian Genteel, PAC

  • Medical Physician Assistant
  • Stroudsburg, PA
National Provider Identifier
1972544575
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA003405L Issued in PA
Practice address
101 Pocono CMNS Ste 101
Stroudsburg, PA 18360-7599
Phone
(570) 872-9955
Fax
(570) 872-9255
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003405L PA
Medical Physician Assistant 363AM0700X MA003405L PA Primary

Addresses

Primary practice location

101 Pocono CMNS Ste 101
Stroudsburg, PA 18360-7599

Mailing address

101 Pocono CMNS Ste 101
Stroudsburg, PA 18360-7599
Phone (570) 827-9955

Other practice location 1

338 Chimney Rock Rd Unit A140
Bound Brook, NJ 08805-1286
Phone (848) 202-8494

Other identifiers 1

IdentifierTypeStateIssuer
P00148935OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811000117 PA Practitioner - Physician Assistant 7719959675 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

200 E Brown St
LVPG Family Medicine Esu
East Stroudsburg, PA 18301-3006
Phone (272) 762-4378

200 Schuylkill Medical PLZ
Pottsville, PA 17901-3660
Phone (570) 621-9270

2741 Macarthur Rd
Whitehall, PA 18052-3632
Phone (610) 434-9561

384 Airport Rd
Hazle Township, PA 18202-3325
Phone (570) 861-8717

528 Delaware Ave
Palmerton, PA 18071-1911
Phone (610) 900-4950

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
GSL Hospital CurrentSince Jan 1, 2023 Accepting new patients
St. Luke'S Hosptial CurrentSince Jan 1, 2023 Accepting new patients
Family Care Centers Inc. CurrentSince Jan 11, 2024 Accepting new patients
St Luke'S Hospital CurrentSince Jan 1, 2023 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Jan 1, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2024 Accepting new patients
Carbon Schuylkill Community Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Jan 1, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 1, 2024 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Jan 1, 2023 Accepting new patients
St Luke Hospital CurrentSince Jan 1, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jan 11, 2024 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Jan 1, 2023 Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Pocono Emergency Physicians, P.C. Past Accepting new patients
Lehigh Valley Physician Group Physician Assistant Past Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

384 Airport Rd
Hazle Township, PA 18202
Phone (570) 501-1242

700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

292 Frantz Rd
Stroudsburg, PA 18360
Phone (570) 424-7390

100 Community Dr
Tobyhanna, PA 18466
Phone (570) 424-2100

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: corey.genteel@slpg.direct-sluhn.org
  • Direct secure messaging: cgenteel862855@direct2.lvhn.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1972544575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 POCONO CMNS STE 101",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607599",
            "telephone_number": "570-827-9955",
            "fax_number": "570-872-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 POCONO CMNS STE 101",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183607599",
            "telephone_number": "570-872-9955",
            "fax_number": "570-872-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 Chimney Rock Rd Unit A140",
            "address_purpose": "LOCATION",
            "city": "Bound Brook",
            "state": "NJ",
            "postal_code": "088051286",
            "country_code": "US",
            "telephone_number": "848-202-8494",
            "fax_number": "848-202-8399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTEEL",
        "first_name": "COREY",
        "middle_name": "ADRIAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003405L",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003405L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00148935",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.