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

Tara Jensen

Individual provider Specialist · NPI 1992195408

Tara Jensen is a Specialist in Lake Ronkonkoma, New York. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

7 Pine St
Lake Ronkonkoma, NY 11779-4260
Phone: (631) 875-3590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1992195408
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 4, 2015
Last updated in NPPESFebruary 4, 2015

Other providers in Lake Ronkonkoma