Dr. Dwayne Gentle, MD
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
1528761046- Practice location
- 183 S Orange Ave Ste F-1560, Newark, NJ 07103-2757
- Phone
- 973-972-3606
- Fax
- —
- Last updated
- June 25, 2024
Dwayne Gentle is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Dwayne Gentle practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Dwayne Gentle is 1528761046 and holds a License No. 207QA0505X (NY). The current practice location address for Dwayne Gentle is 183 S Orange Ave Ste F-1560, Newark, NJ 07103-2757 and can be reached out via phone at 973-972-3606.
Provider Profile Details
- NPI Number
- 1528761046
- Provider Name
- Dwayne Gentle
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 183 S Orange Ave Ste F-1560, Newark, NJ 07103-2757
- Phone Number
- 973-972-3606
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 23, 2023
- Last Update Date
- June 25, 2024
- Certification Date
- June 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 183 S Orange Ave Ste F-1560
Newark, NJ 07103-2757 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2757
- Phone Number
- 973-972-3606
Provider Business Mailing Address Details
- Address
- 27 Cooper Dr
Nanuet, NY 10954-1207 - City
- Nanuet
- State
- NY
- Zip
- 10954-1207
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
- License Number (2)
- 207QA0505X
- License State (2)
- NY
- Taxonomy (2)
- Family Medicine, Adult Medicine · 207QA0505X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Dwayne Gentle, MD?
The NPI number of Dr. Dwayne Gentle, MD is 1528761046. It was assigned on March 23, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Dwayne Gentle, MD?
Dr. Dwayne Gentle, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in NY under license number 207QA0505X.
Where does Dr. Dwayne Gentle, MD practice?
The practice location is 183 S Orange Ave Ste F-1560, Newark, NJ 07103-2757. The office can be reached at 973-972-3606 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528761046 directly on the NPPES registry website.