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

Justin Alexander Ly, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124757000

Justin Alexander Ly, MD is an Orthopaedic Surgery Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St Dept OF Orthopadic Surgery & Sports Medicine
Philadelphia, PA 19140
Phone: (484) 343-3159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence MT225615 (PA)

Record details

NPI number1124757000
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 6, 2022

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