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

JUSTIN DEVARAJ PA
NPI 1275361420
Physician Assistant in New York, NY

Active since July 22, 2024
5141 BROADWAY, NEW YORK, NY 10034(212) 932-4000 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 30, 2026, Jul 22, 2024 (2 updates tracked since 2024).

About Justin Devaraj Pa NPPES

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

JUSTIN DEVARAJ PA (NPI 1275361420) is an individual physician assistant in New York, New York and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1275361420
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN DEVARAJCredential: PA
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address5141 BroadwayNew York, NY 10034-1159 · (212) 932-4000
Sole ProprietorYes
Enumeration DateJuly 22, 2024
Last NPPES UpdateSeptember 30, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1275361420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5141 BROADWAY, New York, NY 10034

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.

Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
Hospitalist
5141 BROADWAY
NEW YORK, NY 10034
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034

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 Devaraj's NPI number?

The NPI number for Justin Devaraj is 1275361420. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Justin Devaraj located?

Justin Devaraj practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-4000.

What is Justin Devaraj's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Justin Devaraj was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.