NPIMap

Individual provider Active NPI

Justin Engelbert, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1619313624
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016485-1 Issued in NY
Practice address
156 W 56TH St
New York, NY 10019-3800
Phone
(212) 283-3000
NPI assigned
May 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016485-1 NY Primary

Addresses

Primary practice location

156 W 56TH St
New York, NY 10019-3800

Mailing address

156 W 56TH St
New York, NY 10019-3800
Phone (212) 283-3000

Other practice location 1

171 Ashley Ave
Charleston, SC 29425-0100
Phone (843) 792-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161031001625 NY Practitioner - Physician Assistant 4284934522 Reassigns benefits to 2 organizations
I20251201003610 SC Practitioner - Physician Assistant 4284934522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

715 Roanoke Ave
Riverhead, NY 11901-2769
Phone (516) 541-5500

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016485NYMDOccupational Therapist
016485-1NYMDSpeech-Language Pathologist
5931SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
New York University CurrentSince May 5, 2025 Accepting new patients
New York University CurrentSince May 5, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients

Locations

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jengelbert703970@nyumc.direct-ci.com
  • Direct secure messaging: justin.engelbert@direct.stonybrookmedicine.edu

Organizations & group practices 6

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 7

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": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1619313624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193800",
            "telephone_number": "212-283-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W 56TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193800",
            "telephone_number": "212-283-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294250100",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELBERT",
        "first_name": "JUSTIN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016485-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.