CARLY GENNARO D.O
NPI 1396195343
Family Medicine in Wyandanch, NY

Active since June 20, 2016PECOS EnrolledAccepts Medicare Assignment
1556 STRAIGHT PATH, WYANDANCH, NY 11798(516) 214-8020(516) 214-8022 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2019, Jun 22, 2016 (2 updates tracked since 2016).

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 and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2016).

NPPES Registry Identity

NPI1396195343
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCARLY GENNAROCredential: D.O
Location Address1556 STRAIGHT PATHWyandanch, NY 11798-3213
Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927
Fax(516) 214-8022
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2016
Enumeration DateJune 20, 2016
Last NPPES UpdateJune 12, 20192 updates tracked since enumeration
NPI 1396195343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 414019797
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1556 STRAIGHT PATH, Wyandanch, NY 11798

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7719223940
PECOS Enrollment IDI20200219002043
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician 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.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims28 services$5.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Registered Nurse
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Social Worker
1556 STRAIGHT PATH, HUDSON RIVER HEALTHCARE, INC.
WYANDANCH, NY 11798
Internal Medicine
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Social Worker (Clinical)
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Clinic/Center
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Pediatrics
1556 STRAIGHT PATH, MARTIN LUTHER KING JR HEALTH CENTER
WYANDANCH, NY 11798
Dietitian, Registered
1556 STRAIGHT PATH
WYANDANCH, NY 11798
Family Medicine
1556 STRAIGHT PATH, MARTIN LUTHER KING JR HEALTH CENTER
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.

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.