Individual
DR. MICHAEL PETER GENTILE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 PROSPECT ST, RIDGEWOOD, NJ 07450-4493
(201) 444-0528
(201) 444-0634
Mailing address
145 PROSPECT ST, RIDGEWOOD, NJ 07450-4493
(201) 444-0528
(201) 444-0634
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
MA056922
NJ
2084P0800X
Psychiatry Physician
MA056922
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
MA056922
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6981909
—
NJ
Enumeration date
08/21/2006
Last updated
09/11/2025
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