Wallace R Jenkins Jr. (NPI# 1487654653, PAC ID# 8022060730) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1487654653 |
| PAC ID by PECOS | 8022060730 |
| Professional Enrollment ID | I20050210000552 |
| Full Name | Wallace R Jenkins Jr. |
| Organization Legal Name | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| Address |
370 Elwood Ave Hawthorne NY 10532-1258 |
| Phone Number | 9144937235 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 8325937014 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330208 | ST JOHN'S RIVERSIDE HOSPITAL |
| 330234 | WESTCHESTER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP | |
| 19 Bradhurst Ave, Suite 100, Hawthorne, NY 10532-2169 | 9145924366 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 19 Bradhurst Ave, Suite 800, Hawthorne, NY 10532-2198 | 9144938558 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 370 Elwood Ave, Hawthorne, NY 10532-1258 | 9144937235 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 40 Saw Mill River Rd, Hawthorne, NY 10532-1535 | 9145938850 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 100 Woods Rd, Valhala, NY 10595-1530 | 9144938558 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 1 Grasslands Rd, Valhalla, NY 10595 | 9145942387 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 30 Plaza W, Valhalla, NY 10595-1572 | 9145944914 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 50 Plaza W, Valhalla, NY 10595-1574 | 9145943415 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 503 Grasslands Rd, Valhalla, NY 10595-1593 | 9143670000 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| 95 Grasslands Rd, Valhalla, NY 10595-1652 | 9145942387 | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| Organization Legal Name | BOSTON CHILDREN'S HEALTH PHYSICIANS, LLP |
| Physicians | 116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen Hunsaker | Qualified Speech Language Pathologist | Boston Children's Health Physicians, LLP | 30 Plaza W, Valhalla, NY 10595-1572 |
| Richard Ancona | Pediatric Medicine | Boston Children's Health Physicians, LLP | 1 Grasslands Rd, Valhalla, NY 10595 |
| Yevgeniya Shurp | Pediatric Medicine | Boston Children's Health Physicians, LLP | 130 Grand St, Croton On Hudson, NY 10520-2307 |
| David J Robida | Pediatric Medicine | Boston Children's Health Physicians, LLP | 50 Plaza W, Valhalla, NY 10595-1574 |
| Polly Kanganis | Obstetrics/gynecology | Boston Children's Health Physicians, LLP | 4 Studio Arc, Bronxville, NY 10708-2631 |
| Ifran A Warsy | Cardiovascular Disease (cardiology) | Boston Children's Health Physicians, LLP | 19 Bradhurst Ave, Suite 1400, Hawthorne, NY 10532-2144 |
| Paul M Lobianco | Clinical Social Worker | Boston Children's Health Physicians, LLP | 10 Weathervane Dr, Washingtonville, NY 10992-2242 |
| Deborah M Friedman | Pediatric Medicine | Boston Children's Health Physicians, LLP | 370 Elwood Ave, Hawthorne, NY 10532-1258 |
| Allyson M Flower | Hematology/oncology | Boston Children's Health Physicians, LLP | 19 Bradhurst Ave, Suite 1400, Hawthorne, NY 10532-2144 |
| Sandra M Tarpey | Nurse Practitioner | Boston Children's Health Physicians, LLP | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 |
| Street Address |
370 ELWOOD AVE |
| City | HAWTHORNE |
| State | NY |
| Zip | 10532-1258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah M Friedman | Pediatric Medicine | Boston Children's Health Physicians, LLP | 370 Elwood Ave, Hawthorne, NY 10532-1258 |
| Michael Gewitz | Pediatric Medicine | Boston Children's Health Physicians, LLP | 370 Elwood Ave, Hawthorne, NY 10532-1258 |
| Fredrick Z Bierman | Cardiovascular Disease (cardiology) | Boston Children's Health Physicians, LLP | 370 Elwood Ave, Hawthorne, NY 10532-1258 |
| Sara A Marsico | Physical Therapy | Access Physical Therapy and Wellness Pllc | 370 Elwood Ave, Hawthorne, NY 10532-1269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Miraglia | Internal Medicine | 183 Benic Pl, Hawthorne, NY 10532-1001 | |
| Michael A Mckeown | Chiropractic | 153 Broadway, Suite 1, Hawthorne, NY 10532-1147 | |
| Herbert H Doerr | Physical Therapy | Axis Integrative Medical PC | 153 Broadway, Suite 2, Hawthorne, NY 10532-1147 |
| Claudine S Mankiewicz | Chiropractic | 40 Broadway, Hawthorne, NY 10532-1202 | |
| Paula N Pierre- Louis | Physical Therapy | Nysarc Inc Westchester County Chapter | 265 Saw Mill River Rd, Suite 3, Hawthorne, NY 10532-1509 |
| Claudia T Sickinger | Psychiatry | Nysarc Inc Westchester County Chapter | 265 Saw Mill River Rd, Suite 3, Hawthorne, NY 10532-1509 |
| Marypat S Hughes | Registered Dietitian Or Nutrition Professional | Nysarc Inc Westchester County Chapter | 265 Saw Mill River Rd, Suite 3, Hawthorne, NY 10532-1509 |
| Frank A Rullo | Clinical Social Worker | Nysarc Inc Westchester County Chapter | 265 Saw Mill River Rd, Suite 3, Hawthorne, NY 10532-1509 |
| Tara Ann O Shaughnessy | Clinical Social Worker | Nysarc Inc Westchester County Chapter | 265 Saw Mill River Rd, Suite 3, Hawthorne, NY 10532-1509 |
| Alla Nirenberg | Psychiatry | Nysarc Inc Westchester County Chapter | 265 Saw Mill River Rd, Suite 3, Hawthorne, NY 10532-1509 |
| Find all physicians in zip 10532 | |||
| City | HAWTHORNE |
| Zip Code | 10532 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | HAWTHORNE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Wallace R Jenkins Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.