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

Gino Desantis, PA-C

Individual provider Physician Assistant · NPI 1114016995

Gino Desantis, PA-C is a Physician Assistant in Norristown, Pennsylvania. Qualified in 2004, 22 years ago. Practices with St Joseph Regional Health Network, a 32-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2701 Dekalb Pike
Norristown, PA 19401-1820
Phone: (610) 278-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA052388 (PA)

Record details

NPI number1114016995
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address12 Gill St, Ste 3000, Woburn, MA 01801-1728

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice St Joseph Regional Health Network — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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