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

Q: What is Mary Jenkins's NPI number?

The NPI number for Mary Jenkins is 1316005895. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Mary Jenkins'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 Mary Jenkins was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 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: August 09, 2026.

On this page

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

Phone(516) 935-7272

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

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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.

DR. PETER M. BLAUZVERN DDS

Dentist (General Practice)

366 N BROADWAY
JERICHO, NY 11753

Nassau County (516) 681-5800

DR. CHRISTOPHER E GEE MD

Internal Medicine

366 N BROADWAY, SUITE 305
JERICHO, NY 11753

Nassau County (516) 935-7272

MS. DALE SHARON KASSAN LMSW

Social Worker

366 N BROADWAY, SUITE 404
JERICHO, NY 11753

Nassau County (516) 662-3346

RENEE COOKE ANP

Nurse Practitioner (Adult Health)

366 N BROADWAY
JERICHO, NY 11753

Nassau County (516) 935-7272

ROSALIND ROSE L.C.S.W.

Counselor (Mental Health)

366 N BROADWAY, SUITE 404
JERICHO, NY 11753

Nassau County (516) 935-0068

DR. RICKY SCOTT MUNTER D.D.S.

Dentist (General Practice)

366 N BROADWAY, SUITE 302
JERICHO, NY 11753

Nassau County (516) 935-0066

STEVEN VINCENT MACAGNONE DC

Chiropractor

366 N BROADWAY, SUITE LE2
JERICHO, NY 11753

Nassau County (516) 433-4242

EATING DISORDER TREATMENT COLLABORATIVE/FEED

Dietitian, Registered

366 N BROADWAY, SUITE PHW-1
JERICHO, NY 11753

Nassau County (516) 513-1284

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 Mary Jenkins's NPI number?

The NPI number for Mary Jenkins is 1316005895. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Mary Jenkins located?

Mary Jenkins practices at 366 N Broadway Suite 305, Jericho, NY 11753. The listed phone number is (516) 935-7272.

What is Mary Jenkins's specialty?

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

Is Mary Jenkins enrolled in Medicare?

Yes. Mary Jenkins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Jenkins was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.