DR. MARY DALE JENKINS MD
NPI 1316005895
Family Medicine in Jericho, NY

Active since December 05, 2006PECOS Enrolled
366 N BROADWAY, SUITE 305, JERICHO, NY 11753(516) 935-7272(516) 935-7282 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mary Dale Jenkins Md NPPES

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

DR. MARY DALE JENKINS MD (NPI 1316005895) is an individual family medicine provider in Jericho, New York, licensed in New York (154307) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316005895
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY DALE JENKINSCredential: MD
Location Address366 N BROADWAY, SUITE 305Jericho, NY 11753-2025
Mailing Address366 N Broadway, Suite 305Jericho, NY 11753-2025 · (516) 935-7272 · Fax (516) 935-7282
Fax(516) 935-7282
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateApril 10, 2008
NPI 1316005895 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 · 154307
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.

366 N BROADWAY, Jericho, NY 11753

Other Identifiers 2

Medicare PIN14D991
Medicare UPINA60702NY

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. Mary Dale Jenkins Md 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 11753 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.

Other Providers at the Same Location NPPES 16

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

Psychologist (Clinical)
366 N BROADWAY, SUITE 404
JERICHO, NY 11753
Counselor (Mental Health)
366 N BROADWAY, SUITE 404
JERICHO, NY 11753
Dentist (General Practice)
366 N BROADWAY
JERICHO, NY 11753
Internal Medicine
366 N BROADWAY, SUITE 305
JERICHO, NY 11753
Social Worker (Clinical)
366 N BROADWAY, SUITE LE4
JERICHO, NY 11753
Specialist
366 N BROADWAY, STE 305
JERICHO, NY 11753
Occupational Therapist (Hand)
366 N BROADWAY
JERICHO, NY 11753
Chiropractor
366 N BROADWAY, SUITE LE2
JERICHO, NY 11753

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316005895, enumerated as an "individual" on December 05, 2006.

The provider is located at 366 N BROADWAY SUITE 305 JERICHO, NY 11753 and the phone number is (516) 935-7272.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.