Active NPI
Flavie Lesage Justafort, P.A.
- Physician Assistant
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA053246
- Practice address
- 313 W Liberty St
Lancaster, PA 17603-2798 - Phone
- (717) 978-3052
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA053246 | PA | Primary |
Addresses
Primary practice location
313 W Liberty St
Lancaster, PA 17603-2798
Mailing address
313 W Liberty St
Lancaster, PA 17603-2798
Phone (179) 783-0527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053246 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Hospital | Current | Accepting new patients | |
| Wellness Place of Lancaster LLC | Physician Assistant | Current | Accepting new patients |
| Reading Hospital | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Red Rose Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
| New Jersey/Pennsylvania Em-I Medical Services, P.C. | Physician Assistant | Past | Accepting new patients |
| Conestoga Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
Locations
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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-
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-
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Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1164610143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 W LIBERTY ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032798",
"telephone_number": "179-783-0527",
"fax_number": "717-824-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 W LIBERTY ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032798",
"telephone_number": "717-978-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTAFORT",
"first_name": "FLAVIE",
"middle_name": "LESAGE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-04",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.