Dr. Edwin a. Jensen, D.O., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB02501900 Issued in NJ

Legal business name

DR. EDWIN A. JENSEN, D.O., P.A.

Practice address

602 S Broadway
Camden, NJ 08103-1222

Phone

(856) 963-2187

Fax

(856) 225-1913

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Arnt Jensen, D.O.

Title

Physician

Phone

(856) 963-2187

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1972514214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031222",
            "telephone_number": "856-963-2187",
            "fax_number": "856-225-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031222",
            "telephone_number": "856-963-2187",
            "fax_number": "856-225-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWIN A. JENSEN, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "ARNT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-963-2187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02501900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2787008",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0106612001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "32866",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000075601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Douglas, MSN, APRN, PMHNP-BC
• April M Douglass-Bright, MD
• Mauricio Downer Jr., MD
• Genean Marie Doyle, MSN-FNP
• Steven James Doyle, DO, PHD
• Dr. Robert L. Carter DDS PC
• Emma Dragan, MD
• Lisa A Drago, DO
• Dan Dragomir, M.D.
• Anthony E. Dragun, MD

• Family Medicine Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.