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

Individual provider Physician Assistant · NPI 1053997064

Tyler Alec Simowitz is a Physician Assistant in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 3 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

4170 City Ave
Philadelphia, PA 19131-1610
Phone: (215) 871-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 339 N Route 73 Ste 1, Berlin, NJ 08009-9707 — (856) 767-8228
  • 361 Alexander Spring Rd, Carlisle, PA 17015-6940 — (717) 988-0000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA063522 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00646800 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053997064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2021
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

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