Active NPI
Justine Margaret Polster
- Social Worker
- Media, PA
National Provider Identifier
1356824833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW134483
- Practice address
- 235 Highland Ave
Media, PA 19063-2205 - Phone
- (610) 329-8274
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | SW134483 | PA | Primary |
Addresses
Primary practice location
235 Highland Ave
Media, PA 19063-2205
Mailing address
235 Highland Ave
Media, PA 19063-2205
Phone (610) 329-8274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 22, 2023 through Oct 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW134483 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1356824833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 HIGHLAND AVE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632205",
"telephone_number": "610-329-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 HIGHLAND AVE",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632205",
"telephone_number": "610-329-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLSTER",
"first_name": "JUSTINE",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW134483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.