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

Ross Tyrone Jensen Lavine

Individual provider Internal Medicine Physician · NPI 1902422553

Ross Tyrone Jensen Lavine is a Critical Care (Intensivists) in Englewood, New Jersey. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in North Carolina and New Jersey.

Years since qualifying
10
Licensed in
NC, NJ
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

350 Engle St Dept OF
Englewood, NJ 07631-1808
Phone: (201) 894-3143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3050 Halstead Blvd Ext, Elizabeth City, NC 27909-4994 — (252) 384-4804

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 2026-00125 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA12040000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902422553
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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