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Deactivated NPI 1669447058 Deactivated / Inactive NPI Male Practitioner

Peter J Gentile , PA-C

Physician Assistant • Worcester, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Peter Gentile has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2006
NPI Deactivation Date October 11, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Peter Gentile, PA-C was a registered Physician Assistant practicing in Worcester, MA. Throughout an active medical career spanning 18 years, Peter Gentile provided care at the practice location at 55 LAKE AVE N until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

55 Lake Ave N
Department Of Pediatric Surgery

Worcester, MA 016550002

Telephone 5088566889
Fax 5088562043
Associated Practice Facility / Clinic
🏢 Umass Memorial Medical Center Facility NPI 1679574933

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
426 Specialists

Practicing in Worcester, MA (4746 Statewide)

Telehealth Adoption Rate
15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 609

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Pradeep Nazarey , MD

Surgery - Pediatric Surgery

NPI 1386798700

Doctor of Medicine (M.D.)

Katherine Bailey , NP

Nurse Practitioner

NPI 1497729552

Nurse Practitioner

Dr. Michael Hirsh , MD

Surgery - Pediatric Surgery

NPI 1861475980

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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NPI Profile Deactivated October 11, 2024

Record deactivated on October 11, 2024

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Updated Practice Location August 10, 2021

Registered at 121 JOHN DEE RD, STERLING, MA 015642428 (Tel: 9784229814)

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Updated Business Mailing Address August 10, 2021

Registered at 121 JOHN DEE RD, STERLING, MA 015642428

NPI Profile Active April 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 24, 2017

Registered at 55 LAKE AVE N, DEPARTMENT OF PEDIATRIC SURGERY, WORCESTER, MA 016550002 (Tel: 5088566889)

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Updated Business Mailing Address April 24, 2017

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

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Provider Name / Credentials Updated April 24, 2017

Recorded as PETER GENTILE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2017

Physician Assistant (License #609 in MA)

NPI Profile Active April 13, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 13, 2011

Registered at 55 LAKE AVE N, DEPARTMENT OF PEDIATRIC SURGERY, WORCESTER, MA 016550002 (Tel: 5088566889)

📍
Updated Business Mailing Address April 13, 2011

Registered at PO BOX 415348, BOSTON, MA 022410001 (Tel: 8002258885)

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Provider Name / Credentials Updated April 13, 2011

Recorded as PETER GENTILE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2011

Physician Assistant (License #609 in MA)

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Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669447058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2006
Last Update: April 13, 2011
Deactivation Date: October 11, 2024

Mailing Address

Po Box 415348

Boston, MA 022410001

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.