Active NPI
Jill Hamburg, P.A.
- Medical Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02777
- Practice address
- 4745 Ogletown Stanton Rd Ste 134
Newark, DE 19713-2074 - Phone
- (302) 738-5300
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C11-0000001 | DE | |
| Medical Physician Assistant | 363AM0700X | MA063269 | PA | |
| Medical Physician Assistant | 363AM0700X | 59981 | CA | |
| Medical Physician Assistant | 363AM0700X | 085008335 | IL | |
| Medical Physician Assistant | 363AM0700X | PA02777 | TX | Primary |
Addresses
Primary practice location
4745 Ogletown Stanton Rd Ste 134
Newark, DE 19713-2074
Mailing address
3200 Winged Elm Dr
Cedar Park, TX 78613-4384
Phone (512) 923-5179
Other practice location 1
325 Central Ave Ste 200
Malvern, PA 19355-3265
Phone (610) 644-6755
Other practice location 2
9850 Genesee Ave Ste 770
LA Jolla, CA 92037-1232
Phone (858) 453-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL, PA, NY, CA, IL, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2112 Harrisburg Pike
Suite 202
Lancaster, PA 17601-2644
Phone (717) 869-4600
4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 738-5300
9850 Genesee Ave
Suite 770
La Jolla, CA 92037-1232
Phone (858) 453-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026821 | NY | MD | Clinical Psychologist |
| 59981 | CA | MD | Medical Physician Assistant |
| 085008335 | IL | MD | Medical Physician Assistant |
| MA063269 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Current | Accepting new patients | |
| La Jolla Gastroenterology Medical Group, Inc | Current | Accepting new patients | |
| Comprehensive Gastrointestinal Health, LLC | Past | Accepting new patients | |
| Welltrackone Corporation | Past | Accepting new patients | |
| Imaging Resource Centers LTD | Past | Accepting new patients | |
| Main Line Gastroenterology Associates, PC | Past | Accepting new patients |
Locations
9850 Genesee Ave
Ste 770
La Jolla, CA 92037
Phone (858) 453-5200
818 W 7th St
Los Angeles, CA 90017
Phone (949) 694-4937
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
71935 Highway 111
Rancho Mirage, CA 92270
Phone (949) 694-4937
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
650 Carnegie Blvd
Ste 100
Malvern, PA 19355
325 Central Ave
Ste 200
Malvern, PA 19355
100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360
5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860
Organizations & group practices 13
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.
-
- Specialist
- La Jolla, CA
- NPI 1457397465
-
- Gastroenterology Physician
- Newark, DE
- NPI 1558722561
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
- Allergy & Immunology Physician
- Austin, TX
- NPI 1639510803
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1255872784
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1295819084
-
- Gastroenterology Physician
- Houston, TX
- NPI 1013429968
-
- Gastroenterology Physician
- Northbrook, IL
- NPI 1427541721
-
- Mobile Radiology Clinic/Center
- Miamisburg, OH
- NPI 1003855909
-
- Gastroenterology Physician
- Malvern, PA
- NPI 1467429365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1750367488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 WINGED ELM DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786134384",
"telephone_number": "512-923-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD STE 134",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132074",
"telephone_number": "302-738-5300"
}
],
"practiceLocations": [
{
"address_1": "325 Central Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Malvern",
"state": "PA",
"postal_code": "193553265",
"country_code": "US",
"telephone_number": "610-644-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9850 Genesee Ave Ste 770",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371232",
"country_code": "US",
"telephone_number": "858-453-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMBURG",
"first_name": "JILL",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DE",
"license": "C11-0000001",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA063269",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "59981",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IL",
"license": "085008335",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.