Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Noel Centeno, MD

Individual provider Cardiovascular Disease Physician · NPI 1508220856

Dr. Jerry Noel Centeno, MD is a Cardiovascular Disease (Cardiology) in Flushing, New York. Qualified in 2016, 10 years ago. Practices with Providence Health and Services - Oregon, a 43-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, New York and Oregon.

Years since qualifying
10
Licensed in
CA, NY, OR
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 192868 (CA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD224604 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 299633 (NY)

Record details

NPI number1508220856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services - Oregon — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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