Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ethan Christofer Jensen, MS, PA-C

Individual provider Surgical Physician Assistant · NPI 1124451539

Mr. Ethan Christofer Jensen, MS, PA-C is a Surgical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

535 E 70th St
New York, NY 10021-4823
Phone: (212) 606-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 016594 (NY)

Record details

NPI number1124451539
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2013
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021

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