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DR. EDWIN A. JENSEN D.O. P.A. NPI 1972514214


NPI Information

NPI: 1972514214
Provider Name: DR. EDWIN A. JENSEN, D.O., P.A.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
602 S BROADWAY
CAMDEN, NJ
ZIP 08103
Phone: (856) 963-2187
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DR. EDWIN A. JENSEN, D.O., P.A. is a family medicine in Camden, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. EDWIN A. JENSEN, D.O., P.A. NPI is 1972514214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

602 S BROADWAY
CAMDEN, NJ
ZIP 08103-222
Phone: (856) 963-2187
Fax: (856) 225-1913

The provider's authorized official is Edwin Arnt Jensen .
The authorized official title is Physician and has the following contact phone number (856) 963-2187.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 10/10/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine25MB02501900NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101000075601OTHERNEW JERSEYAMERICHOICE
20106612001OTHERNEW JERSEYAMERIHEALTH
3459154MEDICARE PINNEW JERSEY
432866OTHERNEW JERSEYAMERIGROUP
52787008MEDICAIDNEW JERSEY
6D77302MEDICARE UPINNEW JERSEY

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: 4/28/2024

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