Active NPI
Justin Edward Sowers, PA-C
- Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA062983
- Practice address
- 51 N 39TH St
Philadelphia, PA 19104-2640 - Phone
- (215) 662-8000
- NPI assigned
- Oct 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA062983 | PA | |
| Physician Assistant | 363A00000X | MA062983 | PA | Primary |
Addresses
Primary practice location
51 N 39TH St
Philadelphia, PA 19104-2640
Mailing address
170 Yocom Rd
Douglassville, PA 19518-9718
Phone (484) 824-8433
Other practice location 1
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 316-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-9801
51 N 39TH St HVP 2ND FL
Div of Cardiology
Philadelphia, PA 19104-2640
Phone (215) 662-9010
7133 Roosevelt Blvd
Philadelphia, PA 19149-1431
Phone (215) 333-5604
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA062983 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients |
Locations
7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311
51 N 39th St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-9010
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Nurse Practitioner
- Langhorne, PA
- NPI 1538728357
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1609548890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 YOCOM RD",
"city": "DOUGLASSVILLE",
"state": "PA",
"postal_code": "195189718",
"telephone_number": "484-824-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N 39TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191042640",
"telephone_number": "215-662-8000"
}
],
"practiceLocations": [
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "215-316-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOWERS",
"first_name": "JUSTIN",
"middle_name": "EDWARD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-05",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA062983",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA062983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.