Individual provider Active NPI

Julie Lee Dameus

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1972470342
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0013492 Issued in DE
Practice address
10871 Bustleton Ave # 148
Philadelphia, PA 19116-3301
Phone
(215) 888-6991
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X LG-0013492 DE Primary

Addresses

Primary practice location

10871 Bustleton Ave # 148
Philadelphia, PA 19116-3301

Mailing address

10871 Bustleton Ave # 148
Philadelphia, PA 19116-3301
Phone (215) 888-6991

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217004119 PA Practitioner - Nurse Practitioner 5597245522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DrrubinllcGroup PAC ID 7719392570, 2 clinicians

Practice addresses (Care Compare)

1208 Langhorne Newtown Rd
Langhorne, PA 19047-1234
Phone (609) 316-6094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0013492DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Drrubinllc Single Specialty CurrentSince Feb 1, 2026 Accepting new patients

Locations

1208 Langhorne Newtown Rd
Langhorne, PA 19047
Phone (267) 560-1100

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1972470342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10871 BUSTLETON AVE # 148",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163301",
            "telephone_number": "215-888-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10871 BUSTLETON AVE # 148",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163301",
            "telephone_number": "215-888-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMEUS",
        "first_name": "JULIE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.