DR. MICHAEL PETER GENTILE SR. (NPI# 1649386020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649386020 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PETER GENTILE SR. |
| Credential | M.D. |
| Practice Address |
145 Prospect St Ridgewood NJ 07450-4493 |
| Practice Telephone | 2014440528 |
| Practice Fax Number | 2014440634 |
| Mailing Telephone | 2014440528 |
| Mailing Fax Number | 2014440634 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MA056922 | NJ | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MA056922 | NJ | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MA056922 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6981909 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487188496 | Michael Paul Gentile | Specialist/Technologist | 58 Sandpiper Dr, Manalapan, NJ 07726-3670 | 2017-04-17 |
| 1982675773 | Michael Raymond Gentile | Internal Medicine | 655 Franklin Ave, Nutley, NJ 07110-1209 | 2006-01-30 |
| 1528038775 | Michael Joseph Gentile | Dentist | 4431 Coastline Ave, Carlsbad, CA 92008-3669 | 2006-01-23 |
| 1912981051 | Michael Gentile | Psychologist | 3601 Avenue T, Brooklyn, NY 11234-4916 | 2005-12-02 |
| 1174185946 | Michael A Gentile | Physical Therapist | 11215 W 159th St, Orland Park, IL 60467-4416 | 2019-07-02 |
| 1245433499 | Michael Anthony Gentile | Dentist | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2007-06-06 |
| 1457567273 | Michael David Gentile | Dentist | 49 Lake Ave, Suite 203, Greenwich, CT 06830-4501 | 2007-05-16 |
| 1124087846 | Michael A Gentile | Podiatrist | 1600 Medical Center Dr Ste G500, Huntington, WV 25701-3659 | 2006-03-21 |
| Street Address |
145 PROSPECT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-4493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285695015 | Homayoon Hatefi | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450 | 2006-03-31 |
| 1134463409 | Lsa Surgery & Consultation PC | Clinic/Center | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2012-11-26 |
| 1053621318 | M.a. Ferrer Physical Therapy LLC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-10-20 |
| 1972817955 | Orthosports and Spine Physical Therapy PC | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2010-08-02 |
| 1346426087 | Homayoon Hatefi M.d. Pa | Internal Medicine | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2008-01-11 |
| 1558484923 | Marie Angelie Ferrer | Physical Therapist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2007-04-09 |
| 1699704536 | North Jersey Surgical Associates, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-07-02 |
| 1306891031 | Youngick Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 145 Prospect St, Ridgewood, NJ 07450 | 2006-05-23 |
| 1477502078 | New Jersey Breast Diagnostic Center, Pa | Specialist | 145 Prospect St, Ridgewood, NJ 07450-4493 | 2006-05-09 |
| 1972565984 | Nino J Carnevale | Surgery | 145 Prospect St, Ridgewood, NJ 07450 | 2006-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184016 | Leena Rajagopal | Psychiatry & Neurology | 1 Bridge Plz N Ste 275, Fort Lee, NJ 07024-7586 | 2013-06-15 |
| 1255684023 | Norman Chazin Md LLC | Psychiatry & Neurology | 199 New Rd Ste 61a, Linwood, NJ 08221-2029 | 2012-10-18 |
| 1700101219 | Michael S. Chen | Psychiatry & Neurology | 707 Alexander Rd Ste 202, Princeton, NJ 08540-6331 | 2010-03-29 |
| 1518295369 | Nicholas A. Marchese, M.d.p.a. | Psychiatry & Neurology | 2002 New York Ave, Union City, NJ 07087-4431 | 2009-12-04 |
| 1164682266 | Edward H. Lowell | Psychiatry & Neurology | 1 Scenic Dr Unit 1404, Highlands, NJ 07732-1322 | 2008-06-11 |
| 1467634360 | Manfred Kanu Obi | Psychiatry & Neurology | 1235 Morris Ave Ste 1, Union, NJ 07083-3344 | 2007-12-03 |
| 1356549661 | Nicole Marie Dorio | Psychiatry & Neurology | Third and Federal Streets, New Jersey State Prison, Trenton, NJ 08625-0861 | 2007-07-08 |
| 1932240637 | Toni-lynne Calabrese | Psychiatry & Neurology | 1609 Stuyvesant Ave, West Trenton, NJ 08628 | 2007-02-08 |
| 1265588156 | Chester L. Trent | Psychiatry & Neurology | 12 Christopher Way, Suite 200, Eatontown, NJ 07724-3330 | 2007-01-25 |
| 1831241371 | Gary M Glass | Psychiatry & Neurology | 3137 Fire Road, Suite A, Egg Harbor Township, NJ 08234 | 2007-01-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.