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

Mr. Jason Robert Smith, PA-C

Individual provider Physician Assistant · NPI 1689759862

Mr. Jason Robert Smith, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Delaware, New Jersey and Pennsylvania. Registered with an NPI since 2006.

Licensed in
DE, NJ, PA
In the registry since
2006
Specialties on file
4
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

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (267) 426-5546
Fax: (215) 386-4036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MA052891 (PA)
Physician Assistant Taxonomy 363A00000X · Licence C5-0000717 (DE)
Physician Assistant Taxonomy 363A00000X · Licence C50000717 (DE)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00161900 (NJ)

Record details

NPI number1689759862
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESSeptember 28, 2016

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