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

Dr. Justin Derosa, DO

Individual provider Gastroenterology Physician · NPI 1841649944

Dr. Justin Derosa, DO is a Gastroenterology in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2016, 10 years ago. Practices with Advocare, LLC, a 385-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1528 Walnut St Ste 950
Philadelphia, PA 19102-3628
Phone: (267) 273-1196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence OS020719 (PA)

Record details

NPI number1841649944
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 9, 2016
Last updated in NPPESJune 22, 2025
Certification dateJune 22, 2025

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Advocare, Llc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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