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

John M. Cavenagh, PA

Individual provider Physician Assistant · NPI 1649271313

John M. Cavenagh, PA is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4190 City Line Ave Ste 315
Philadelphia, PA 19131-1626
Phone: (215) 871-6380
Fax: (215) 871-6381
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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 OA000378L (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA000252L (PA)

Record details

NPI number1649271313
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2005
Last updated in NPPESApril 8, 2009

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