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ROSS TYRONE JENSEN LAVINE
NPI 1902422553
Internal Medicine - Critical Care Medicine in Englewood, NJ

Active since June 19, 2020PECOS Enrolled
350 ENGLE ST DEPT OF, ENGLEWOOD, NJ 07631(201) 894-3143 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Mar 7, 2024, Jan 11, 2022 and 1 more (4 updates tracked since 2020).

About Ross Tyrone Jensen Lavine NPPES

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

ROSS TYRONE JENSEN LAVINE (NPI 1902422553) is an individual critical care medicine provider in Englewood, New Jersey, licensed in North Carolina (2026-00125) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Elizabeth City.

NPPES Registry Identity

NPI1902422553
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameROSS TYRONE JENSEN LAVINE
Location Address350 ENGLE ST DEPT OFEnglewood, NJ 07631-1808
Mailing Address350 Engle St Dept OfEnglewood, NJ 07631-1808 · (201) 894-3143
Phone(201) 894-3143
Sole ProprietorNo
Enumeration DateJune 19, 2020
Last NPPES UpdateJune 16, 20264 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
✔ NPI 1902422553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NC · 2026-00125
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA12040000 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
350 ENGLE ST DEPT OF, Englewood, NJ 07631
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Other Names 1

Professional Name (2)Ross J Lavine Md

Secondary Practice Location 1

Location 13050 Halstead Blvd ExtElizabeth City, NC 27909-4994 · Phone (252) 384-4804 · Fax (252) 384-5238

Other Identifiers 1

Medicaid0973840NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ross Tyrone Jensen Lavine 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. JASON DAVID LOFTERS MB,BS
Student in an Organized Health Care Education/Training Program
350 ENGLE ST DEPT OF
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3143
ADOUM OUMAR ABAKAR MD
Student in an Organized Health Care Education/Training Program
350 ENGLE ST DEPT OF
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3143
SEONGMIN CHOI MD
Student in an Organized Health Care Education/Training Program
350 ENGLE ST DEPT OF
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3143
DR. BARRY ETTINGER M.D.
Anesthesiology
350 ENGLE ST DEPT OF
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3322
DR. LAKSHMI KAMESWARI SRAVANTHI AYYAGARI
Internal Medicine
350 ENGLE ST DEPT OF
ENGLEWOOD, NJ 07631
Bergen County (201) 894-3000

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 Ross Lavine's NPI number?

The NPI number for Ross Lavine is 1902422553. It was assigned to this individual provider in the NPPES registry on June 19, 2020. The provider is also known as Ross J Lavine MD.

Where is Ross Lavine located?

Ross Lavine practices at 350 Engle St Dept Of, Englewood, NJ 07631. The listed phone number is (201) 894-3143.

What is Ross Lavine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Ross Lavine enrolled in Medicare?

Yes. Ross Lavine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ross Lavine was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.