WALLACE RUSSELL JENKINS MD
NPI 1487654653
Pediatrics - Adolescent Medicine in Valhalla, NY

Q: What is Wallace Jenkins's NPI number?

The NPI number for Wallace Jenkins is 1487654653. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Wallace Jenkins's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Wallace Jenkins was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 28, 2005PECOS Enrolled

503 GRASSLANDS RD, STE 200, VALHALLA, NY 10595(914) 304-5288(914) 345-1755 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wallace Russell Jenkins Md NPPES

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

WALLACE RUSSELL JENKINS MD (NPI 1487654653) is an individual adolescent medicine provider in Valhalla, New York, licensed in New York (183800) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487654653

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameWALLACE RUSSELL JENKINSCredential: MD

Location Address503 GRASSLANDS RD, STE 200Valhalla, NY 10595

Mailing Address503 Grasslands Rd, Ste 200Valhalla, NY 10595-1503 · (914) 304-5288 · Fax (914) 345-1755

Phone(914) 304-5288

Fax(914) 345-1755

Sole ProprietorNo

Enumeration DateJuly 28, 2005

Last NPPES UpdateJuly 23, 2013

✔ NPI 1487654653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NY · 183800

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

503 GRASSLANDS RD, Valhalla, NY 10595

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Other Identifiers 5

Medicare UPINE95140NY

Medicaid01210104NY

Medicare PIN94F871NY

Medicare PIN94F87EA202NY

Medicare PIN94F87EA201NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wallace Russell 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier17 claims41 services$5.44 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier11 claims330 services$4.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

POOA BLOOMBERG

Occupational Therapist (Hand)

503 GRASSLANDS RD
VALHALLA, NY 10595

Westchester County (914) 345-9133

MILAGROS TAVERAS

Case Manager/Care Coordinator

503 GRASSLANDS RD
VALHALLA, NY 10595

Westchester County (914) 593-0593

BARBARA JEAN WASSERMAN MA

Specialist

503 GRASSLANDS RD
VALHALLA, NY 10595

Westchester County (914) 593-0593

MS. REGINA S FERRARO MPS

Specialist

503 GRASSLANDS RD
VALHALLA, NY 10595

Westchester County (914) 593-0593

DR. JERRY WISHNER PH.D.

Psychologist

503 GRASSLANDS RD, SUITE 107
VALHALLA, NY 10595

Westchester County (914) 763-1140

GABRIELA AGUIRRE MS IN EDUCATION

Specialist

503 GRASSLANDS RD
VALHALLA, NY 10595

Westchester County (914) 593-0593

MS. KATHARINE GRAMS ANDERSON SLP

Speech-Language Pathologist

503 GRASSLANDS RD
VALHALLA, NY 10595

Westchester County (914) 593-0593

ANNA KRAVET

Speech-Language Pathologist

503 GRASSLANDS RD
VALHALLA, NY 10595

Westchester County (914) 593-0593

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 Wallace Jenkins's NPI number?

The NPI number for Wallace Jenkins is 1487654653. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Wallace Jenkins located?

Wallace Jenkins practices at 503 Grasslands Rd Ste 200, Valhalla, NY 10595. The listed phone number is (914) 304-5288.

What is Wallace Jenkins's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Wallace Jenkins enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Wallace Jenkins was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.