Michael Raymond Gentile, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA050612 Issued in NJ

Practice address

655 Franklin Ave
Nutley, NJ 07110-1209

Phone

(973) 542-1122

Fax

(973) 661-1300

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Michael Raymond Gentile Other name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Heart Center of the Oranges

  • Cardiovascular Disease Physician
  • East Orange, NJ
  • NPI 1477532588
  Medicare reassignment Care Compare group
• Biosound Medical Services, Inc

  • Multi-Specialty Clinic/Center
  • Rockaway, NJ
  • NPI 1790838910
  NPD (past)

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

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1982675773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101209",
            "telephone_number": "973-542-1122",
            "fax_number": "973-661-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101209",
            "telephone_number": "973-542-1122",
            "fax_number": "973-661-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA050612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "GENTILE",
            "middle_name": "RAYMOND",
            "prefix": "MR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Ann Gebhardt-Burns, LPC
• Susan Gejerman, LAMFT
• Gabriella Altagracia Genao
• Genis Physical Therapy and Rehabilitation
• Alan M Genitempo, L.AC.
• Kelly M Gentry, LPC
• Tiffany Geoffroy, RDN
• George Z. Farion M.D.P.a.
• Hisham A Gharib
• Jennifer Giacobbe

• Internal Medicine Physician in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.