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RICHARD JENSEN
NPI 1417963588
Physician Assistant in Peru, NY

Active since July 31, 2006
3384 STATE ROUTE 22, PERU, NY 12972(518) 643-8008(518) 643-8090 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Jensen NPPES

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

RICHARD JENSEN (NPI 1417963588) is an individual physician assistant in Peru, New York, licensed in New York (5546) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417963588
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICHARD JENSEN
Location Address3384 STATE ROUTE 22Peru, NY 12972-5305
Mailing Address553 Stevenson RdWestport, NY 12993-2219 · (518) 962-2777
Phone(518) 643-8008
Fax(518) 643-8090
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417963588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 5546
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3384 STATE ROUTE 22, Peru, NY 12972
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Other Identifiers 2

Medicare ID-Type UnspecifiedPA1037NY
Medicare UPINP33012NY

Other Providers at the Same Location NPPES 2

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

ADIRONDACK HEALTHCARE ASSOCIATES, LLC
Internal Medicine
3384 STATE ROUTE 22
PERU, NY 12972
Clinton County (518) 643-8008
MS. ROBIN MARIE HINSON P.A.
Physician Assistant (Medical)
3384 STATE ROUTE 22
PERU, NY 12972
Clinton County (518) 643-8008

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 Richard Jensen's NPI number?

The NPI number for Richard Jensen is 1417963588. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Richard Jensen located?

Richard Jensen practices at 3384 State Route 22, Peru, NY 12972. The listed phone number is (518) 643-8008.

What is Richard Jensen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Richard Jensen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.