Maria Antonieta Jensen, NURSE PRACTITIONER

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

509598 DUP Issued in NY

Practice address

3280 Ocean Harbor Dr
Oceanside, NY 11572-3546

Phone

(516) 650-8550

NPI assigned

Feb 6, 2008

Last updated

Nov 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1205014842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 OCEAN HARBOR DR",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723546",
            "telephone_number": "516-650-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 OCEAN HARBOR DR",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723546",
            "telephone_number": "516-650-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MARIA",
        "middle_name": "ANTONIETA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40401438",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "509598 DUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fe Jaurigue
• Aisha Javaid, PHYSICIAN ASSISTANT
• Paul Jean-Charles, MD
• Daniah G Jean-Francois, N.P.
• Jeffrey M Stark, DPM (Dr. Jeffrey M. Stark, DPM)
• Jess's Kids, Inc.
• Jessica Wahl
• Jillian Irwin DPM, P.C.
• Jerin Jacob John
• Tracy Johnson, PSYD

• Registered Nurse in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.