Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN TYLER FRISENDA DO
NPI 1063879773
Surgery - Trauma Surgery in Philadelphia, PA

Active since January 26, 2016PECOS Enrolled
51 NORTH 39TH STREET, MEDICAL OFFICE BUILDING, 1ST FLOOR, SUITE 120, PHILADELPHIA, PA 19104(215) 662-7320(215) 243-4605 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 16, 2026, Aug 31, 2026, Jun 2, 2026 and 4 more (7 updates tracked since 2016).

About Justin Tyler Frisenda Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN TYLER FRISENDA DO (NPI 1063879773) is an individual trauma surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS025977) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063879773
Entity TypeIndividualMale
Primary Taxonomy2086S0127X
Provider Legal NameJUSTIN TYLER FRISENDACredential: DO
Location Address51 NORTH 39TH STREET, MEDICAL OFFICE BUILDING, 1ST FLOOR, SUITE 120Philadelphia, PA 19104-2640
Mailing Address51 North 39th Street, Medical Office Building, 1st Floor, Suite 120Philadelphia, PA 19104-2640 · (215) 662-7320 · Fax (215) 243-4605
Fax(215) 243-4605
Sole ProprietorNo
Enumeration DateJanuary 26, 2016
Last NPPES UpdateSeptember 16, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
NPI 1063879773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in PA · OS025977
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
51 NORTH 39TH STREET, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Justin Tyler Frisenda Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
51 NORTH 39TH STREET, MAB, SUITE 102
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
51 NORTH 39TH STREET, 4 PHI
PHILADELPHIA, PA 19104
Internal Medicine (Cardiovascular Disease)
51 NORTH 39TH STREET, 4 PHI
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
51 NORTH 39TH STREET
PHILADELPHIA, PA 19104
Internal Medicine (Infectious Disease)
51 NORTH 39TH STREET, 3910 BUILDING, 2ND FLOOR
PHILADELPHIA, PA 19104
Nurse Anesthetist, Certified Registered
51 NORTH 39TH STREET, 223 WRIGHT SAUNDERS
PHILADELPHIA, PA 19104
Internal Medicine (Interventional Cardiology)
51 NORTH 39TH STREET, 4 PHI
PHILADELPHIA, PA 19104
Surgery (Surgical Critical Care)
51 NORTH 39TH STREET
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Frisenda's NPI number?

The NPI number for Justin Frisenda is 1063879773. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Where is Justin Frisenda located?

Justin Frisenda practices at 51 North 39th Street Medical Office Building, 1st Floor, Suite 120, Philadelphia, PA 19104. The listed phone number is (215) 662-7320.

What is Justin Frisenda's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Justin Frisenda enrolled in Medicare?

Yes. Justin Frisenda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Frisenda was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.