Individual provider Active NPI

Justen Sumner, MD, MPH

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1629496294
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD464730 Issued in PA
Practice address
3998 Red Lion Rd Ste 106
Philadelphia, PA 19114-1439
Phone
(215) 612-5481
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD464730 PA Primary

Addresses

Primary practice location

3998 Red Lion Rd Ste 106
Philadelphia, PA 19114-1439

Mailing address

3998 Red Lion Rd Ste 106
Philadelphia, PA 19114-1439
Phone (215) 612-5481

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821001200 PA Practitioner - Obstetrics/Gynecology 7517287840 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

1245 Highland Ave
Suite 109
Abington, PA 19001-3722
Phone (215) 481-4212

3998 Red Lion Rd
Philadelphia, PA 19114-1439
Phone (215) 612-4143

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD464730PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Jul 1, 2019 Accepting new patients
Abington Memorial Hospital Obstetrics & Gynecology CurrentSince Sep 22, 2018 Accepting new patients
Aria Health Physician Services CurrentSince Sep 1, 2018 Accepting new patients
Abington Memorial Hospital CurrentSince Sep 22, 2018 Accepting new patients
Aria Health Physician Services-GYN Obstetrics & Gynecology CurrentSince Sep 1, 2018 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

240 Middletown Blvd
Ste 101B
Langhorne, PA 19047
Phone (215) 757-5737

3998 Red Lion Rd
Ste 106
Philadelphia, PA 19114
Phone (215) 612-4143

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

2500 Maryland Rd
Ste 504
Willow Grove, PA 19090

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1629496294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD STE 106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141439",
            "telephone_number": "215-612-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 RED LION RD STE 106",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141439",
            "telephone_number": "215-612-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "JUSTEN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD464730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.