Nicholas John Gentile
Specialist/Technologist, Athletic Trainer in Glen Mills, PA. Individual provider (NPI-1).
NPI number1124586201
StatusActive
Last updated in NPPESMar 7, 2019
Details
- NPI
- 1124586201
- Entity type
- Individual (NPI-1)
- Name
- Nicholas John Gentile
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2019
- Last updated
- Mar 7, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1511 Heather Hills LaneGlen Mills, PA 19039-0266
Phone 610-558-4890
Mailing address
Po Box 266Gradyville, PA 19039-0266
Phone 610-558-4890
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All 9 Athletic Trainer providers in Glen Mills · All 615 providers in Glen Mills
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