CARLY GENNARO D.O
NPI 1396195343
Family Medicine in Wyandanch, NY
About Carly Gennaro D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY GENNARO D.O (NPI 1396195343) is an individual family medicine provider in Wyandanch, New York, licensed in New York (414019797) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carly Gennaro D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Carly Gennaro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 2,450 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Community Hospital
Acute Care Hospitals · Patchogue, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11798 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WYANDANCH, NY 11798
WYANDANCH, NY 11798
WYANDANCH, NY 11798
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Gennaro's NPI number?
The NPI number for Carly Gennaro is 1396195343. It was assigned to this individual provider in the NPPES registry on June 20, 2016.
Where is Carly Gennaro located?
Carly Gennaro practices at 1556 Straight Path, Wyandanch, NY 11798. The listed phone number is (516) 214-8020.
What is Carly Gennaro's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carly Gennaro enrolled in Medicare?
Yes. Carly Gennaro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carly Gennaro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Gennaro reassigns Medicare benefits to 2 organizations: Sun River Health Inc (Bronx, NY) and New York University (Boynton Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Gennaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Carly Gennaro affiliated with any hospitals?
According to CMS data, Carly Gennaro is affiliated with Long Island Community Hospital.
When was this NPI record last updated?
The NPPES record for Carly Gennaro was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carly Gennaro, D.O · NPI 1396195343
Family Medicine physician in Wyandanch, New York. Individual provider, active in the CMS NPPES registry since June 20, 2016.
## Identity
- **NPI:** 1396195343 (Entity type: Individual)
- **Enumerated:** June 20, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 414019797 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1556 STRAIGHT PATH, Wyandanch, NY 11798-3213
- **Phone:** (516) 214-8020 · **Fax:** (516) 214-8022
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sun River Health Inc (NPI 1740763275, Bronx, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2016
## Record status
- **NPPES last updated:** June 12, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1396195343) · Data from the CMS NPPES public registry.