Individual provider Active NPI

Jenny Teresa Bencardino, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1134211329
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD429855 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 662-3000
Fax
(215) 662-7011
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD429855 PA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-3000

Other identifiers 3

IdentifierTypeStateIssuer
1017665180002MedicaidPA
2737006MedicaidOH
O2334572MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070130000641 NY Practitioner - Diagnostic Radiology 3173523297 Reassigns benefits to 1 organization
I20090211000518 OH Practitioner - Diagnostic Radiology 3173523297 Reassigns benefits to 3 organizations
I20190625000003 PA Practitioner - Diagnostic Radiology 3173523297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Proscan Radiology, LLCGroup PAC ID 5799680807, 59 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 378-6148

3400 Bainbridge Ave
Bronx, NY 10467-2404
Phone (914) 378-6148

5400 Kennedy Ave
Cincinnati, OH 45213-2664
Phone (513) 351-3000

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
238787NYMDLicensed Practical Nurse
001816NYMDMidwife
MD429855PAMDDiagnostic Radiology Physician

Practice roles (26 of 30)

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Dec 19, 2025 Accepting new patients
Dublin Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Cincinnati Imaging Leasing Company, LTD. Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Oct 30, 2023 Accepting new patients
Stadium Open MRI, LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Western Hills Open MRI, LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Proscan Imaging of Pickerington, LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Proscan Tylersville, LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Proscan Womens Imaging at Redbank LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Proscan Open MRI North, LTD. Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 15, 2019 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Dec 19, 2025 Accepting new patients
Proscan Imaging of Troy, LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Proscan Womens Imaging at Redbank Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
CT at Midtown Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Oct 30, 2023 Accepting new patients
Proscan Open MRI East, LTD. Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Proscan Imaging Gahanna, LLC Diagnostic Radiology CurrentSince Feb 11, 2025 Accepting new patients
Franklin & Seidelmann Medical Corp Diagnostic Radiology Past Accepting new patients
Magnetic Resonance Imaging of Huntington, P.C. Diagnostic Radiology Past Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients
DRS. Hill & Thomas Co. Past Accepting new patients
DRS. Hill & Thomas Co. Diagnostic Radiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

100 Corporate Dr
Ste 100
Yonkers, NY 10701
Phone (914) 378-6148

5400 Kennedy Ave
Cincinnati, OH 45213
Phone (513) 281-3400

4850 Red Bank Rd
Fl 2
Cincinnati, OH 45227
Phone (877) 729-6636

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

525 W Chester Pike
Ste 101A
Havertown, PA 19083
Phone (610) 449-2000

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jbencardin@montefioredirect.com

Organizations & group practices 41

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 41

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1134211329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCARDINO",
        "first_name": "JENNY",
        "middle_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD429855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017665180002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737006",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O2334572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.