Jenna Mohan

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1175 Montauk Hwy
West Islip, NY 11795-4939

Phone

(631) 500-9400

NPI assigned

Aug 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Renaissance Medical Care PCGroup PAC ID 1759657927, 5 clinicians

Josef Schenker MD PCGroup PAC ID 8022335330, 57 clinicians

Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: jenna.mohan@424131117121540.direct.elationemr.com

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

• Renaissance Medical Care, P.C.

  • Family Medicine Physician
  • East Meadow, NY
  • NPI 1346775889
  Medicare reassignment Care Compare group NPD (past)
• Josef Schenker MD PC

  dba Centers Urgent Care

  • Internal Medicine Physician
  • Middle Village, NY
  • NPI 1275936932
  Medicare reassignment Care Compare group
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment Care Compare group
• North Shore Lij, Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Rockville Centre, NY
  • NPI 1679970891
  Medicare reassignment
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1851571608

  CT

  Medicare reassignment
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• Renaissance Family Care

  • Family Medicine Physician
  • East Meadow, NY
  • NPI 1184946899
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1881369213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9252 244TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954939",
            "telephone_number": "631-500-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Sunrise Hwy",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117952023",
            "country_code": "US",
            "telephone_number": "631-983-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Elise Mirchel, PHYSICIAN ASSISTANT
• Joseph E Mirro
• Symeon Missios, M.D.
• Mitchell I. Weinstein, D.O., P.C.
• Dorothy Mock, PA
• Mehnaaz Mohiuddin
• Meghan Debra Mohr, MA, CCC-SLP, TSSLD
• Brittany Molin, MD
• Ojirese Oluwaminiyi Momoh, DO
• Lucy Moncada, P.T.

• Physician Assistant in West Islip, NY
• Providers in West Islip, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.