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

John R. Larson, PA

Individual provider Physician Assistant · NPI 1356354666

John R. Larson, PA is a Physician Assistant in Neptune, New Jersey. Qualified in 1978, 48 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota and New Jersey.

Years since qualifying
48
Licensed in
ND, NJ
In the registry since
2006
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

1945 State Route 33
Neptune, NJ 07753-4859
Phone: (732) 776-4292
Fax: (732) 776-2428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Brace Rd Ste H, Cherry Hill, NJ 08034-2600 — (856) 547-0389

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP000162 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence PAC1053 (ND)

Record details

NPI number1356354666
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address1945 Route 33, Neptune, NJ 07754

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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