Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Despina Lianidis, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790430692

Despina Lianidis, PA-C is a Physician Assistant in Medford, New Jersey. Graduated from Philadelphia College of Osteopathic Medicine in 2022, 4 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NJ
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Medford, NJ

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00736200 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790430692
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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