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

Individual provider Physician Assistant · NPI 1083214332

Mr. Justin Michael Eisenhauer, PA-C is a Physician Assistant in Johnson City, New York. Qualified in 2020, 6 years ago. Practices with Tjh Medical Services PC, a 213-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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

33-57 Harrison St
Johnson City, NY 13790-2107
Phone: (607) 763-6412
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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 025837 (NY)

Record details

NPI number1083214332
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 31, 2020
Certification dateOctober 31, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tjh Medical Services Pc — 213 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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