MR. ETHAN CHRISTOFER JENSEN M.S., PA-C
NPI 1124451539
Physician Assistant - Surgical in New York, NY

Active since August 21, 2013PECOS Enrolled
535 E 70TH ST, NEW YORK, NY 10021(212) 606-1000 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ethan Christofer Jensen M.s., Pa-c NPPES

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

MR. ETHAN CHRISTOFER JENSEN M.S., PA-C (NPI 1124451539) is an individual surgical provider in New York, New York, licensed in New York (016594) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124451539
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ETHAN CHRISTOFER JENSENCredential: M.S., PA-C
Location Address535 E 70TH STNew York, NY 10021-4823
Mailing Address535 E 70th StNew York, NY 10021-4823 · (212) 606-1888
Sole ProprietorNo
Enumeration DateAugust 21, 2013
Last NPPES UpdateApril 6, 2021
NPPES CertifiedApril 6, 2021
NPI 1124451539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 016594
535 E 70TH ST, New York, NY 10021

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Ethan Christofer Jensen M.s., Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Physician Assistant (Surgical)
535 E 70TH ST
NEW YORK, NY 10021
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
Specialist/Technologist (Athletic Trainer)
535 E 70TH ST
NEW YORK, NY 10021
Speech-Language Pathologist
535 E 70TH ST
NEW YORK, NY 10021
Anesthesiology
535 E 70TH ST
NEW YORK, NY 10021
Physical Therapist
535 E 70TH ST
NEW YORK, NY 10021
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
535 E 70TH ST
NEW YORK, NY 10021
Physician Assistant
535 E 70TH ST
NEW YORK, NY 10021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Jensen's NPI number?

The NPI number for Ethan Jensen is 1124451539. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Ethan Jensen located?

Ethan Jensen practices at 535 E 70th St, New York, NY 10021. The listed phone number is (212) 606-1000.

What is Ethan Jensen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ethan Jensen enrolled in Medicare?

Yes. Ethan Jensen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Jensen was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.