Physicians Care of Long Island

Primary specialty

SpecialistTaxonomy code 174400000X

License

203818 Issued in NY

Legal business name

PHYSICIANS CARE OF LONG ISLAND

Practice address

366 N Broadway
Ste 305
Jericho, NY 11753-2000

Phone

(516) 935-7272

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Mary Jenkins, MDNPI 1316005895

Title

Owner

Phone

(516) 935-7272

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Dale Jenkins, MD

  • Family Medicine Physician
  • Jericho, NY
  • NPI 1316005895
  NPD (past) Authorized official

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1760609572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY",
            "address_2": "STE 305",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY",
            "address_2": "STE 305",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532000",
            "telephone_number": "516-935-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-935-7272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "203818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Perlin
• Peter M. Blauzvern, D.D.S.,P.C.
• Jaime Philip, P.T.
• Phillip Fyman and Alexander Weingarten MD PC
• Paris Ead Phillips, M.D.
• Ajayan Pillai, PHD
• Dominique Catherine Plante, MA CCC SLP TSSLD
• Linda S Pochtar, MA CCC SLP
• Ira M Pollak, PSY.D.
• Robin Schoen Pollak, MSSLPTSHH

• Specialist in Jericho, NY
• Providers in Jericho, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.