Mary L. Jensis- Carlson, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005090 Issued in NY

Practice address

637 Willis Ave
Suite a
Williston Park, NY 11596-1154

Phone

(516) 248-8188

NPI assigned

Sep 6, 2006

Last updated

Mar 26, 2009By 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

Other names 1

• Mary Carlson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlson Podiatric Care PLLC

  dba Dr Mary Carlson Foot And Ankle Care

  • Podiatrist
  • Williston Park, NY
  • NPI 1528571627
  Authorized official Same address or phone
• Mary Jensis-Carlson D P M

  • Foot Surgery Podiatrist
  • Williston Park, NY
  • NPI 1508002783
  Authorized official Same address or phone
• Next Step Podiatry PLLC

  • Foot Surgery Podiatrist
  • Williston Park, NY
  • NPI 1891396503
  NPD
• Foot and Ankle Care

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1790120954
  NPD (past)
• Hanan Pediatrics PC

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1588082812
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1851494165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 SHORE RD",
            "address_2": "APT 1H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091953",
            "telephone_number": "718-833-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 WILLIS AVE",
            "address_2": "SUITE A",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961154",
            "telephone_number": "516-248-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSIS- CARLSON",
        "first_name": "MARY",
        "middle_name": "L.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005090",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CARLSON",
            "credential": "D.P.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jennings Counseling Services, LCSW, PC
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• Joseph D'Auria P.T., P.C.
• Joy Therapeutics

• Foot Surgery Podiatrist in Williston Park, NY
• Providers in Williston Park, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.