Active NPIIndividual providerSole proprietor

Tyler A Simowitz

Physician Assistant in Etters, Pennsylvania

NPI Number1053997064
Practice location
36 Robinhood Dr, Etters, PA 17319-9528
Fax
—
Last updated
October 5, 2026

Tyler Alec Simowitz is a Physician Assistant based in Etters, PA. Tyler Alec Simowitz practices in Etters, PA. The NPI Number for Tyler Alec Simowitz is 1053997064 and holds a License No. 25MP00646800 (NJ). The current practice location address for Tyler Alec Simowitz is 36 Robinhood Dr, Etters, PA 17319-9528 and can be reached out via phone at 717-388-7300.

Provider Profile Details

NPI Number
1053997064
Provider Name
Tyler Alec Simowitz
Provider Entity Type
Individual
Gender
Male
Address
36 Robinhood Dr, Etters, PA 17319-9528
Phone Number
717-388-7300
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2021
Last Update Date
October 5, 2026
Certification Date
October 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Robinhood Dr
Etters, PA 17319-9528
City
Etters
Zip
17319-9528
Phone Number
717-388-7300
Etters, PA 17319Get directions →

Provider Business Mailing Address Details

Address
601 Memory Ln
York, PA 17402-2231
City
York
State
PA
Zip
17402-2231
Phone Number
717-851-1405

License Information

License Number (1)
25MP00646800
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (3)
MA063522
License State (3)
PA
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tyler A Simowitz?

The NPI number of Tyler A Simowitz is 1053997064. It was assigned on March 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Tyler A Simowitz?

Tyler A Simowitz is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00646800.

Where does Tyler A Simowitz practice?

The practice location is 36 Robinhood Dr, Etters, PA 17319-9528. The office can be reached at 717-388-7300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053997064 directly on the NPPES registry website.

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