Individual provider Active NPI

Jennifer M. Ou, PA

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1225565658
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060776 Issued in PA
Practice address
1703 S Broad St Ste 300
Philadelphia, PA 19148-1536
Phone
(215) 463-5333
Fax
(215) 463-8085
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060776 PA Primary

Addresses

Primary practice location

1703 S Broad St Ste 300
Philadelphia, PA 19148-1536

Mailing address

1703 S Broad St Ste 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190807003798 PA Practitioner - Physician Assistant 7416221106 Reassigns benefits to 3 organizations
I20200406002255 NJ Practitioner - Physician Assistant 7416221106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Cardiology Consultants of Philadelphia PCGroup PAC ID 5294620746, 154 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1703 S Broad St
Suite 300
Philadelphia, PA 19148-1536
Phone (215) 463-5333

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060776PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey PC CurrentSince Mar 20, 2020 Accepting new patients
Methodist Associates in Healthcare, Inc Current Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Oct 13, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 19, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jul 19, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800

1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

700 Cottman Ave
Ste 101
Philadelphia, PA 19111
Phone (215) 745-4100

525 Jamestown St
Ste 107
Philadelphia, PA 19128
Phone (215) 482-1607

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

111 S 11th St
Ste 6210
Philadelphia, PA 19107
Phone (215) 503-5151

1703 S Broad St
Ste 300
Philadelphia, PA 19148
Phone (215) 462-7100

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1225565658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S BROAD ST STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481536",
            "telephone_number": "215-463-5333",
            "fax_number": "215-463-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S BROAD ST STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481536",
            "telephone_number": "215-463-5333",
            "fax_number": "215-463-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OU",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.