Raymond Jensen (NPI# 1174613129, PAC ID# 3173704566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174613129 |
| PAC ID by PECOS | 3173704566 |
| Professional Enrollment ID | I20110217000561 |
| Full Name | Raymond Jensen |
| Organization Legal Name | AMITYVILLE INTERNAL MEDICINE PC |
| Address |
49 Ireland Place Amityville NY 11701-2902 |
| Phone Number | 6312640924 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668363318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 49 Ireland Place, Amityville, NY 11701-2902 | 6312640924 | AMITYVILLE INTERNAL MEDICINE PC |
| Organization Legal Name | AMITYVILLE INTERNAL MEDICINE PC |
| Physicians | 1 |
| Street Address |
49 IRELAND PLACE |
| City | AMITYVILLE |
| State | NY |
| Zip | 11701-2902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon D Deluca | Physical Therapy | Maximum Motion Physical Therapy Pllc | 565 Albany Ave, Amityville, NY 11701-1115 |
| Alyssa Febbraro | Physical Therapy | Maximum Motion Physical Therapy Pllc | 565 Albany Ave, Amityville, NY 11701-1115 |
| Joanne Walters | Clinical Social Worker | 585 Albany Ave, Apt 147, Amityville, NY 11701-1170 | |
| Jacqueline Rosario | Clinical Social Worker | 118 Kenneth Ct, Amityville, NY 11701-1557 | |
| Jorge L Gardyn | Internal Medicine | 618 Broadway, Amityville, NY 11701-2124 | |
| Jesse T Johnson Ii | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Kimberly T Souffront | Nurse Practitioner | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Ruth L Guevara | Family Medicine | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Jason Gerard Tonno | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Erik G Walter | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Find all physicians in zip 11701 | |||
| City | AMITYVILLE |
| Zip Code | 11701 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AMITYVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Raymond Jensen.
| 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.