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

Jenna Mohan

Individual provider Physician Assistant · NPI 1881369213

Jenna Mohan is a Physician Assistant in West Islip, New York. Qualified in 2021, 5 years ago. Practices with Renaissance Medical Care PC, a 5-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

1175 Montauk Hwy
West Islip, NY 11795-4939
Phone: (631) 500-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 Sunrise Hwy, West Islip, NY 11795-2023 — (631) 983-4084

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1881369213
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address9252 244th St, Floral Park, NY 11001-3911

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Renaissance Medical Care Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in West Islip