MARY JENSIS-CARLSON D P M
NPI 1508002783
Podiatrist - Foot Surgery in Williston Park, NY

Active since December 18, 2008
637 WILLIS AVE, SUITE D, WILLISTON PARK, NY 11596(516) 248-8188(516) 279-4610 Get Directions Write a Review

NPPES record last updated: March 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jensis-carlson D P M NPPES

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

MARY JENSIS-CARLSON D P M (NPI 1508002783) is a healthcare organization registered as a foot surgery in Williston Park, New York and active in the NPI registry since December 2008. The organization lists Mary L Jensis-carlson, Owner, as its authorized official.

NPPES Registry Identity

NPI1508002783
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameMARY JENSIS-CARLSON D P M
Location Address637 WILLIS AVE, SUITE DWilliston Park, NY 11596-1154
Mailing Address637 Willis Ave, Ste D.Williston Park, NY 11596-1154 · (516) 248-8188 · Fax (516) 279-4610
Fax(516) 279-4610
Organization SubpartNo
Authorized OfficialMary L Jensis-carlsonOwner · (516) 248-8188
Enumeration DateDecember 18, 2008
Last NPPES UpdateMarch 17, 2009
NPI 1508002783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License Licensed in NY · N005090
637 WILLIS AVE, Williston Park, NY 11596

Other Identifiers 1

Medicare NSC6159240001NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Family Medicine (Adult Medicine)
637 WILLIS AVE
WILLISTON PARK, NY 11596
Podiatrist (Foot Surgery)
637 WILLIS AVE, SUITE A
WILLISTON PARK, NY 11596

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 Mary Jensis-Carlson D P M's NPI number?

The NPI number for Mary Jensis-Carlson D P M is 1508002783. It was assigned to this organization in the NPPES registry on December 18, 2008.

Where is Mary Jensis-Carlson D P M located?

Mary Jensis-Carlson D P M is located at 637 Willis Ave Suite D, Williston Park, NY 11596. The listed phone number is (516) 248-8188.

What is Mary Jensis-Carlson D P M's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Mary Jensis-Carlson D P M was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.