Gentile, Michael Peter
Gentile, Michael Peter is an sole proprietor health care provider with primary practice located at 145 Prospect St , Ridgewood NJ 07450-4493. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Gentile, Michael Peter can be contacted via phone (201) 444-0528.Contact Information
Primary practice address
145 Prospect St
Ridgewood NJ 07450-4493
Phone: (201) 444-0528
Fax: (201) 444-0634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | MA056922 | New Jersey |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MA056922 | New Jersey |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MA056922 | New Jersey |
Profile Details
| NPI number | 1649386020 |
|---|---|
| LBN Legal business name | Gentile, Michael Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649386020 | NPPES |
| New Jersey | MEDICAID | 6981909 |
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