DR. MARK AARON JACKNIN D.O.
NPI 1033179338
Family Medicine in New York, NY

Q: What is Mark Jacknin's NPI number?

The NPI number for Mark Jacknin is 1033179338. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Q: What is Mark Jacknin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Jacknin was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment

4405 BROADWAY, NEW YORK, NY 10040(212) 740-2020(646) 666-0280 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Aaron Jacknin D.o. NPPES

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

DR. MARK AARON JACKNIN D.O. (NPI 1033179338) is an individual family medicine provider in New York, New York, licensed in New York (230171) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Passaic, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2002).

NPPES Registry Identity

NPI1033179338

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK AARON JACKNINCredential: D.O.

Location Address4405 BROADWAYNew York, NY 10040-4014

Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730

Phone(212) 740-2020

Fax(646) 666-0280

Sole ProprietorYes

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2002

Enumeration DateMarch 23, 2006

Last NPPES UpdateSeptember 1, 2023

NPPES CertifiedSeptember 1, 2023

✔ NPI 1033179338 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 · 230171

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.

4405 BROADWAY, New York, NY 10040

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Secondary Practice Location 1

Location 177 BoulevardPassaic, NJ 07055-4705 · Phone (917) 603-8862 · Fax (718) 504-7521

Other Identifiers 1

Medicaid02716663NY

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

Dr. Mark Aaron Jacknin 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 ID3274551023

PECOS Enrollment IDI20051109001167

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

57 services34 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

21 services21 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10040 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

Other Providers at the Same Location NPPES 20

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

DR. CARLOS F NUNEZ MD

Internal Medicine