Active NPI
Jenny Teresa Bencardino, MD
- Diagnostic Radiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD429855
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1017665180002 | Medicaid | PA | |
| 2737006 | Medicaid | OH | |
| O2334572 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OH, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CenterProscan Radiology, LLC
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
- Nyack Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238787 | NY | MD | Licensed Practical Nurse |
| 001816 | NY | MD | Midwife |
| MD429855 | PA | MD | Diagnostic Radiology Physician |
Practice roles (26 of 30)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedic and Sports Medicine Associates LTD | Current | Accepting new patients | |
| Dublin Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cincinnati Imaging Leasing Company, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Stadium Open MRI, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Western Hills Open MRI, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Imaging of Pickerington, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Tylersville, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Womens Imaging at Redbank LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Open MRI North, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Premier Orthopaedic and Sports Medicine Associates, LTD | Current | Accepting new patients | |
| Proscan Imaging of Troy, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Womens Imaging at Redbank | Diagnostic Radiology | Current | Accepting new patients |
| CT at Midtown | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Montefiore Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Proscan Open MRI East, LTD. | Diagnostic Radiology | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Proscan Imaging Gahanna, LLC | Diagnostic Radiology | Current | 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
- 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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Diagnostic Radiology, NY
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1588654610
Diagnostic Radiology, OH
-
- Orthopaedic Surgery Physician
- Newtown Square, PA
- NPI 1215987243
PA
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1013907120
Diagnostic Radiology, OH
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Physical Therapist
- New York, NY
- NPI 1124780630
-
- Occupational Therapist
- Tuckahoe, NY
- NPI 1154005486
-
- Dentist
- Bronx, NY
- NPI 1275710519
-
- Physical Therapist
- Fishkill, NY
- NPI 1356012454
-
- Physical Therapist
- Tarrytown, NY
- NPI 1366113466
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.