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

Richard Jensen

Individual provider Physician Assistant · NPI 1417963588

Richard Jensen is a Physician Assistant in Peru, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

3384 State Route 22
Peru, NY 12972-5305
Phone: (518) 643-8008
Fax: (518) 643-8090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5546 (NY)

Record details

NPI number1417963588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 31, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Peru