Active NPIIndividual provider

Mr. Keith P Johnson, MD

Orthopaedic Surgery in Glen Rock, New Jersey

NPI Number1487616967
Practice location
85 Harristown Road, Suite 103, Glen Rock, NJ 07452
Fax
844-366-8900
Last updated
January 19, 2016

Keith Patrick Johnson is an Orthopaedic Surgery based in Glen Rock, NJ. Keith Patrick Johnson practices in Glen Rock, NJ and has the professional credentials of MD. The NPI Number for Keith Patrick Johnson is 1487616967 and holds a License No. 25MA07819000 (NJ). The current practice location address for Keith Patrick Johnson is 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 and can be reached out via phone at 844-366-8800 and via fax at 844-366-8900.

Provider Profile Details

NPI Number
1487616967
Provider Name
Keith Patrick Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
85 Harristown Road, Suite 103, Glen Rock, NJ 07452
Phone Number
844-366-8800
Fax Number
844-366-8900
Primary Taxonomy
Orthopaedic Surgery · 207X00000X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2006
Last Update Date
January 19, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Harristown Road
Suite 103
Glen Rock, NJ 07452
Zip
07452
Phone Number
844-366-8800
Fax Number
844-366-8900
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
85 Harristown Road
Suite 103
Glen Rock, NJ 07452
City
Glen Rock
State
NJ
Zip
07452
Phone Number
844-366-8800
Fax Number
844-366-8900

License Information

License Number (1)
25MA07819000
License State (1)
NJ
Taxonomy (1)
Specialist · 174400000X
License Number (2)
25MA07819000
License State (2)
NJ
Taxonomy (2)
Orthopaedic Surgery · 207X00000X · Primary
License Number (3)
25MA07819000
License State (3)
NJ
Taxonomy (3)
Orthopaedic Surgery, Sports Medicine · 207XX0005X

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 Mr. Keith P Johnson, MD?

The NPI number of Mr. Keith P Johnson, MD is 1487616967. It was assigned on April 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Keith P Johnson, MD?

Mr. Keith P Johnson, MD is registered under the primary taxonomy Orthopaedic Surgery (code 207X00000X), licensed in NJ under license number 25MA07819000.

Where does Mr. Keith P Johnson, MD practice?

The practice location is 85 Harristown Road, Suite 103, Glen Rock, NJ 07452. The office can be reached at 844-366-8800 (phone) or 844-366-8900 (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 1487616967 directly on the NPPES registry website.

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