DR. GARY JOHN PETENKO DMD
NPI 1205924149
Dentist - General Practice in Marlboro, NJ

Q: What is Gary Petenko's NPI number?

The NPI number for Gary Petenko is 1205924149. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Gary Petenko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Gary Petenko was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 October 10, 2006PECOS Enrolled

3 PALOMINO WAY, MARLBORO, NJ 07746(732) 462-7072(732) 294-7714 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gary John Petenko Dmd NPPES

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

DR. GARY JOHN PETENKO DMD (NPI 1205924149) is an individual general practice provider in Marlboro, New Jersey, licensed in New Jersey (DIO1093200) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205924149

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GARY JOHN PETENKOCredential: DMD

Location Address3 PALOMINO WAYMarlboro, NJ 07746-1948

Mailing Address3 Palomino WayMarlboro, NJ 07746-1948 · (732) 462-1063 · Fax (732) 294-7714

Phone(732) 462-7072

Fax(732) 294-7714

Sole ProprietorYes

Enumeration DateOctober 10, 2006

Last NPPES UpdateMarch 31, 2010

✔ NPI 1205924149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NJ · DIO1093200

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 PALOMINO WAY, Marlboro, NJ 07746

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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. Gary John Petenko Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07746 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gary Petenko's NPI number?

The NPI number for Gary Petenko is 1205924149. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Gary Petenko located?

Gary Petenko practices at 3 Palomino Way, Marlboro, NJ 07746. The listed phone number is (732) 462-7072.

What is Gary Petenko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gary Petenko enrolled in Medicare?

Yes. Gary Petenko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Petenko was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.