Active NPIIndividual providerSole proprietor

Ilyasah Q Johnson, CNA, PBT

Technician, Pathology, Phlebotomy in Egg Harbor City, New Jersey

NPI Number1326859570
Practice location
115 Philadelphia Ave, Ste B #224, Egg Harbor City, NJ 08215-1200
Fax
—
Last updated
January 27, 2025

Ilyasah Q Johnson is a Technician, Pathology, Phlebotomy based in Egg Harbor City, NJ. Ilyasah Q Johnson practices in Egg Harbor City, NJ and has the professional credentials of CNA, PBT. The NPI Number for Ilyasah Q Johnson is 1326859570 and holds a License No. NA200036261 (NJ). The current practice location address for Ilyasah Q Johnson is 115 Philadelphia Ave, Ste B #224, Egg Harbor City, NJ 08215-1200 and can be reached out via phone at 856-202-6243.

Provider Profile Details

NPI Number
1326859570
Provider Name
Ilyasah Q Johnson
Credential
CNA, PBT
Provider Entity Type
Individual
Gender
Female
Address
115 Philadelphia Ave, Ste B #224, Egg Harbor City, NJ 08215-1200
Phone Number
856-202-6243
Primary Taxonomy
Technician, Pathology, Phlebotomy · 246RP1900X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2025
Last Update Date
January 27, 2025
Certification Date
January 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Philadelphia Ave
Ste B #224
Egg Harbor City, NJ 08215-1200
Zip
08215-1200
Phone Number
856-202-6243
Egg Harbor City, NJ 08215Get directions →

Provider Business Mailing Address Details

Address
890 E Walnut RD Apt 38
Vineland, NJ 08360-5040
City
Vineland
State
NJ
Zip
08360-5040
Phone Number
609-405-5974

License Information

License Number (1)
NA200036261
License State (1)
NJ
Taxonomy (1)
Nurse's Aide · 376K00000X
License Number (2)
5460-23
License State (2)
NJ
Taxonomy (2)
Technician, Pathology, Phlebotomy · 246RP1900X · 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 Ilyasah Q Johnson, CNA, PBT?

The NPI number of Ilyasah Q Johnson, CNA, PBT is 1326859570. It was assigned on January 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Ilyasah Q Johnson, CNA, PBT?

Ilyasah Q Johnson, CNA, PBT is registered under the primary taxonomy Technician, Pathology, Phlebotomy (code 246RP1900X), licensed in NJ under license number NA200036261.

Where does Ilyasah Q Johnson, CNA, PBT practice?

The practice location is 115 Philadelphia Ave, Ste B #224, Egg Harbor City, NJ 08215-1200. The office can be reached at 856-202-6243 (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 1326859570 directly on the NPPES registry website.

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