ERIC MICHAEL JORGENSEN MD
NPI 1093371429
Allergy & Immunology in Ithaca, NY

Q: What is Eric Jorgensen's NPI number?

The NPI number for Eric Jorgensen is 1093371429. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Q: What is Eric Jorgensen's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Jorgensen was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment

904 E SHORE DR, ITHACA, NY 14850(607) 257-6563 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2025, Jul 10, 2023, May 10, 2019 (3 updates tracked since 2019).

On this page

About Eric Michael Jorgensen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC MICHAEL JORGENSEN MD (NPI 1093371429) is an individual allergy & immunology provider in Ithaca, New York, licensed in New York (311096) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2019).

NPPES Registry Identity

NPI1093371429

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameERIC MICHAEL JORGENSENCredential: MD

Location Address904 E SHORE DRIthaca, NY 14850-1026

Mailing Address904 E Shore DrIthaca, NY 14850-1026 · (607) 257-6563

Phone(607) 257-6563

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2019

Enumeration DateMay 10, 2019

Last NPPES UpdateJune 21, 20253 updates tracked since enumeration

NPPES CertifiedJune 21, 2025

✔ NPI 1093371429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in NY · 311096

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

904 E SHORE DR, Ithaca, NY 14850

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric Michael Jorgensen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880925981

PECOS Enrollment IDI20250630000362

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASTHMA & ALLERGY ASSOCIATES P.C.

Allergy & Immunology (Allergy)