1. Home
  2. Directory
  3. Connecticut
  4. Stamford
  5. Physician Assistant
  6. NPI Profile

JUSTIN BOURQUE PA-C
NPI 1649089087
Physician Assistant - Surgical in Stamford, CT

Active since December 31, 2024PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL PLZ, STAMFORD, CT 06902(203) 279-7022(203) 276-5560 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2025, Dec 31, 2024 (2 updates tracked since 2024).

About Justin Bourque Pa-c NPPES

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

JUSTIN BOURQUE PA-C (NPI 1649089087) is an individual surgical provider in Stamford, Connecticut, licensed in Connecticut (6945) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649089087
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJUSTIN BOURQUECredential: PA-C
Location Address1 HOSPITAL PLZStamford, CT 06902-3602
Mailing Address1 Hospital PlzStamford, CT 06902-3602 · (203) 276-7022 · Fax (203) 276-5560
Phone(203) 279-7022
Fax(203) 276-5560
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 31, 2024
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1649089087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 6945
1 HOSPITAL PLZ, Stamford, CT 06902
Open in Google Maps ↗

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

Justin Bourque Pa-c 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 ID5092236612
PECOS Enrollment IDI20250311002231
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.

MR. MATHIAS AIHIOKHAI PA-C
Physician Assistant
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-1000
KRISTA ANN ULRICH PHYSICIAN ASSISTANT
Physician Assistant (Surgical)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7022
JEFFREY HAMRLICEK PA-C
Physician Assistant (Surgical)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7022
DR. SCOTT A. COLE M.D.
Obstetrics & Gynecology
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2030
JOAN MORTAROTTI FNP-C
Nurse Practitioner (Family)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2695
DR. ANDREAS BUB MD
Hospitalist
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7147
FAHMIDA BEGUM PA
Physician Assistant
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7298
MARYANA GERMAN APRN
Nurse Practitioner (Family)
1 HOSPITAL PLZ
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 348-7410

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 Bourque's NPI number?

The NPI number for Justin Bourque is 1649089087. It was assigned to this individual provider in the NPPES registry on December 31, 2024.

Where is Justin Bourque located?

Justin Bourque practices at 1 Hospital Plz, Stamford, CT 06902. The listed phone number is (203) 279-7022.

What is Justin Bourque's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Justin Bourque enrolled in Medicare?

Yes. Justin Bourque 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.

When was this NPI record last updated?

The NPPES record for Justin Bourque was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.