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

Individual provider Physician Assistant · NPI 1346472396

Peter Bosniak, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Einstein Practice Plan Inc, a 764-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2009
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

5501 Old York Rd
Philadelphia, PA 19141-3091
Phone: (215) 456-6679
Fax: (215) 456-8502
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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 MA053922 (PA)

Record details

NPI number1346472396
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2009
Last updated in NPPESMay 4, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Einstein Practice Plan Inc — 764 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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