Active NPIIndividual provider

Lauren S Johnson, PHYSICIAN ASSISTANT

Physician Assistant, Surgical in Montclair, New Jersey

NPI Number1639989601
Practice location
70 Park St Ste 312, Montclair, NJ 07042-2960
Fax
201-342-2550
Last updated
November 3, 2026

Lauren Spencer Johnson is a Physician Assistant, Surgical based in Montclair, NJ. Lauren Spencer Johnson practices in Montclair, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Lauren Spencer Johnson is 1639989601 and holds a License No. 25MP00985 (NJ). The current practice location address for Lauren Spencer Johnson is 70 Park St Ste 312, Montclair, NJ 07042-2960 and can be reached out via phone at 201-342-2550 and via fax at 201-342-2550.

Provider Profile Details

NPI Number
1639989601
Provider Name
Lauren Spencer Johnson
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
70 Park St Ste 312, Montclair, NJ 07042-2960
Phone Number
201-342-2550
Fax Number
201-342-2550
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
January 10, 2025
Last Update Date
November 3, 2026
Certification Date
November 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Park St Ste 312
Montclair, NJ 07042-2960
Zip
07042-2960
Phone Number
201-342-2550
Fax Number
201-342-2550
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
70 Park St Ste 312
Montclair, NJ 07042-2960
City
Montclair
State
NJ
Zip
07042-2960

License Information

License Number
25MP00985
License State
NJ
Taxonomy
Physician Assistant, Surgical · 363AS0400X · 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 Lauren S Johnson, PHYSICIAN ASSISTANT?

The NPI number of Lauren S Johnson, PHYSICIAN ASSISTANT is 1639989601. It was assigned on January 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Lauren S Johnson, PHYSICIAN ASSISTANT?

Lauren S Johnson, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00985.

Where does Lauren S Johnson, PHYSICIAN ASSISTANT practice?

The practice location is 70 Park St Ste 312, Montclair, NJ 07042-2960. The office can be reached at 201-342-2550 (phone) or 201-342-2550 (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 1639989601 directly on the NPPES registry website.

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