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

Individual provider Physician Assistant · NPI 1306478649

Joseph Carroll, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
7
Licensed in
NJ, PA
In the registry since
2020
Specialties on file
3
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

833 Chestnut St Ste 1220
Philadelphia, PA 19107-4413
Phone: (800) 321-9999
Fax: (267) 479-1321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Old Lancaster Rd Ste 100&200, Bryn Mawr, PA 19010-3231 — (800) 321-9999

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA062481 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00561000 (NJ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1306478649
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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