Active NPIIndividual provider

Dr. Colin M Johnson Jr., MD

Student in an Organized Health Care Education/Training Program in Newark, New Jersey

NPI Number1073298121
Practice location
185 S Orange Ave Bldg G595, Newark, NJ 07103-2757
Fax
973-972-6591
Last updated
June 16, 2023

Colin Michael Johnson is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Colin Michael Johnson practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Colin Michael Johnson is 1073298121. The current practice location address for Colin Michael Johnson is 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757 and can be reached out via phone at 973-972-5018 and via fax at 973-972-6591.

Provider Profile Details

NPI Number
1073298121
Provider Name
Colin Michael Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
185 S Orange Ave Bldg G595, Newark, NJ 07103-2757
Phone Number
973-972-5018
Fax Number
973-972-6591
Sole Proprietor
No
Provider Enumeration Date
June 16, 2023
Last Update Date
June 16, 2023
Certification Date
June 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 S Orange Ave Bldg G595
Newark, NJ 07103-2757
City
Newark
Zip
07103-2757
Phone Number
973-972-5018
Fax Number
973-972-6591
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
17 Lackawanna Pl Apt 405
Bloomfield, NJ 07003-2955
City
Bloomfield
State
NJ
Zip
07003-2955
Phone Number
347-351-4035

License Information

Legacy Identifiers

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

Other Student in an Organized Health Care Education/Training Program providers near Newark, NJ

View all Student in an Organized Health Care Education/Training Program providers in Newark →

Frequently Asked Questions

What is the NPI number of Dr. Colin M Johnson Jr., MD?

The NPI number of Dr. Colin M Johnson Jr., MD is 1073298121. It was assigned on June 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Colin M Johnson Jr., MD?

Dr. Colin M Johnson Jr., MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Dr. Colin M Johnson Jr., MD practice?

The practice location is 185 S Orange Ave Bldg G595, Newark, NJ 07103-2757. The office can be reached at 973-972-5018 (phone) or 973-972-6591 (fax).

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 1073298121 directly on the NPPES registry website.

Browse related providers