MARY L. JENSIS- CARLSON D.P.M. NPI 1851494165

NPI Information

NPI: 1851494165
Provider Name: MARY L. JENSIS- CARLSON, D.P.M.
Classification: Podiatrist - 213ES0131X
Specialization: Foot Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 637 WILLIS AVE
SUITE A
WILLISTON PARK, NY
ZIP 11596
Phone: (516) 248-8188

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NPI Details

Mary L. Jensis- Carlson, D.P.M. is a foot surgery podiatrist in Williston Park, NY. Mary L. Jensis- Carlson, D.P.M. NPI is 1851494165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

637 WILLIS AVE
SUITE A
WILLISTON PARK, NY
ZIP 11596-154
Phone: (516) 248-8188

The NPI 1851494165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/6/2006 and was last updated on 3/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		N005090	NEW YORK	No
2	213ES0131X	Podiatrist	Foot Surgery	N005090	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P60891	MEDICARE PIN	NEW YORK
2	U45386	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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