Active NPIIndividual provider

Dr. Jenifer M Johnson, MD

Family Medicine in Rye, New York

NPI Number1174502918
Practice location
1 Theall RD, Rye, NY 10580-1404
Fax
914-848-8701
Last updated
July 29, 2014

Jenifer M Johnson is a Family Medicine based in Rye, NY. Jenifer M Johnson practices in Rye, NY and has the professional credentials of MD. The NPI Number for Jenifer M Johnson is 1174502918 and holds a License No. 236084 (NY). The current practice location address for Jenifer M Johnson is 1 Theall RD, Rye, NY 10580-1404 and can be reached out via phone at 914-848-8700 and via fax at 914-848-8701.

Provider Profile Details

NPI Number
1174502918
Provider Name
Jenifer M Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Theall RD, Rye, NY 10580-1404
Phone Number
914-848-8700
Fax Number
914-848-8701
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 11, 2006
Last Update Date
July 29, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Theall RD
Rye, NY 10580-1404
City
Rye
Zip
10580-1404
Phone Number
914-848-8700
Fax Number
914-848-8701
Rye, NY 10580Get directions →

Provider Business Mailing Address Details

Address
1 Theall RD
Rye, NY 10580-1404
City
Rye
State
NY
Zip
10580-1404
Phone Number
914-848-8700
Fax Number
914-848-8701

License Information

License Number (1)
236084
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
053095
License State (2)
CT
Taxonomy (2)
Family Medicine · 207Q00000X

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 Dr. Jenifer M Johnson, MD?

The NPI number of Dr. Jenifer M Johnson, MD is 1174502918. It was assigned on January 11, 2006 and is currently active in the NPPES registry.

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

Dr. Jenifer M Johnson, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 236084.

Where does Dr. Jenifer M Johnson, MD practice?

The practice location is 1 Theall RD, Rye, NY 10580-1404. The office can be reached at 914-848-8700 (phone) or 914-848-8701 (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 1174502918 directly on the NPPES registry website.

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