Individual
ROSS TYRONE JENSEN LAVINE
Active
Individual
ROSS TYRONE JENSEN LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA12040000
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2026-00125
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0973840
—
NJ
Enumeration date
06/19/2020
Last updated
06/16/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up