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

Jesse Alexander Johnson Jr.

Individual provider Hospitalist Physician · NPI 1235794322

Jesse Alexander Johnson Jr. is an Internal Medicine in Paoli, Pennsylvania. Graduated from Temple University School of Medicine in 2019, 7 years ago. Practices with Luminis Health Medical Group, LLC, a 549-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone: (484) 565-1510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 — (215) 955-8465

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD475484 (PA)
Hospitalist Physician Taxonomy 208M00000X · Licence MD475484 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235794322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2019
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Luminis Health Medical Group, Llc — 549 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Paoli