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DR. GERARDO TOLENTINO M.D.
NPI 1861434946
Psychiatry & Neurology - Neurodevelopmental Disabilities in Port Jefferson Station, NY

Active since June 12, 2006PECOS Enrolled
5 MEDICAL DR, PORT JEFFERSON STATION, NY 11776(631) 632-3785 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gerardo Tolentino M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERARDO TOLENTINO M.D. (NPI 1861434946) is an individual neurodevelopmental disabilities provider in Port Jefferson Station, New York, licensed in New York (206084) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861434946
Entity TypeIndividualMale
Primary Taxonomy2084P0005X
Provider Legal NameDR. GERARDO TOLENTINOCredential: M.D.
Location Address5 MEDICAL DRPort Jefferson Station, NY 11776-1595
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 632-3785
Phone(631) 632-3785
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861434946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2084P0005X
License✔ Licensed in NY · 206084
Definition
A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
5 MEDICAL DR, Port Jefferson Station, NY 11776
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Other Identifiers 4

Medicare ID-Type Unspecified51M291NY
Other5080569NY · Aetna
Medicaid01805774NY
Medicare UPING46207NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gerardo Tolentino M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WARREN DANIEL SPINNER D.O.
Psychiatry & Neurology (Neurology)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
NORTH SUFFOLK NEUROLOGY, PC
Clinic/Center (Medical Specialty)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
SABRINA LIVOTI PA-C
Physician Assistant
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
CASEY LYNN WARD
Physician Assistant
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
NEW WAVE NEUROLOGY PC
Psychiatry & Neurology (Neurology)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 364-9119
PROF. ELISA HAN PH.D.
Psychologist (Clinical)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 632-3785
PETER WIGG PSY. D.
Psychologist (Clinical)
5 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 632-3070

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 Gerardo Tolentino's NPI number?

The NPI number for Gerardo Tolentino is 1861434946. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Gerardo Tolentino located?

Gerardo Tolentino practices at 5 Medical Dr, Port Jefferson Station, NY 11776. The listed phone number is (631) 632-3785.

What is Gerardo Tolentino's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurodevelopmental Disabilities, with taxonomy code 2084P0005X.

Is Gerardo Tolentino enrolled in Medicare?

Yes. Gerardo Tolentino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gerardo Tolentino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.