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

Mr. Justin T John, NP

Individual provider Family Nurse Practitioner · NPI 1104529890

Mr. Justin T John, NP is a Nurse Practitioner in Liverpool, New York. Qualified in 2022, 4 years ago. Practices with St Josephs Medical PC, a 385-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5100 W Taft Rd
Liverpool, NY 13088-3807
Phone: (315) 452-2828
Fax: (315) 744-1950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 Prospect Ave, Syracuse, NY 13203-1807 — (315) 448-6253

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F350077 (NY)

Record details

NPI number1104529890
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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