Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JUSTIN KOMISAROF
Active
Individual
JUSTIN KOMISAROF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
311957
NY
207R00000X
Internal Medicine Physician
W5414
TX
207RH0003X
Hematology & Oncology Physician
Primary
W5414
TX
363A00000X
Physician Assistant
311957
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2019
Last updated
08/25/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up