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MR. JUSTIN T JOHN NP
NPI 1104529890
Nurse Practitioner - Family in Liverpool, NY

Active since March 23, 2023PECOS EnrolledAccepts Medicare Assignment
5100 W TAFT RD, LIVERPOOL, NY 13088(315) 452-2828(315) 744-1950 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Mar 23, 2023 (2 updates tracked since 2023).

About Mr. Justin T John Np NPPES

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

MR. JUSTIN T JOHN NP (NPI 1104529890) is an individual family provider in Liverpool, New York, licensed in New York (F350077) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1104529890
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JUSTIN T JOHNCredential: NP
Location Address5100 W TAFT RDLiverpool, NY 13088-3807
Mailing Address405 Mallard DrCamillus, NY 13031-2097 · (315) 546-4416
Phone(315) 452-2828
Fax(315) 744-1950
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 23, 2023
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1104529890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F350077
5100 W TAFT RD, Liverpool, NY 13088
Open in Google Maps ↗

Secondary Practice Location 1

Location 1301 Prospect AveSyracuse, NY 13203-1807 · Phone (315) 448-6253

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Justin T John Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284090481
PECOS Enrollment IDI20230512002009
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. THOMAS J FALLON D.D.S.P.C.
Dentist (Oral and Maxillofacial Pathology)
5100 W TAFT RD, SUITE #3M NORTH MEDICAL CENTER
LIVERPOOL, NY 13088
Onondaga County (315) 452-2570
THOMAS LLOYD FEIGMAN MD
Obstetrics & Gynecology (Gynecology)
5100 W TAFT RD, SUITE 3G
LIVERPOOL, NY 13088
Onondaga County (315) 452-2968
JODY S BLEIER MD
Internal Medicine (Cardiovascular Disease)
5100 W TAFT RD, SUITE 4J
LIVERPOOL, NY 13088
Onondaga County (315) 701-2170
DR. OMAR GUESMIA DDS
Dentist
5100 W TAFT RD, SUITE 3K
LIVERPOOL, NY 13088
Onondaga County (315) 452-2700
PATRICIA J SZYMANOWSKI ANP
Urology
5100 W TAFT RD, SUITE 4-D
LIVERPOOL, NY 13088
Onondaga County (315) 458-6669
DR. GARY D LEAVITT M.D.
Radiology (Diagnostic Radiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088
Onondaga County (315) 452-2555
DR. ROBERT J WEISS MD
Surgery
5100 W TAFT RD, SUITE 2Q
LIVERPOOL, NY 13088
Onondaga County (315) 452-2727
DR. EDWARD RANDOLPH NOBLE JR. M.D.
Radiology (Neuroradiology)
5100 W TAFT RD, SUITE 2A
LIVERPOOL, NY 13088
Onondaga County (315) 452-2555

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 John's NPI number?

The NPI number for Justin John is 1104529890. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Justin John located?

Justin John practices at 5100 W Taft Rd, Liverpool, NY 13088. The listed phone number is (315) 452-2828.

What is Justin John's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justin John enrolled in Medicare?

Yes. Justin John is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justin John affiliated with any hospitals?

According to CMS data, Justin John is affiliated with St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Justin John was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.