Active NPIIndividual provider

Lakeia D Johnson, PA-C

Physician Assistant, Surgical in Newark, New Jersey

NPI Number1912196353
Practice location
111 Central Ave, Newark, NJ 07102-1909
Fax
—
Last updated
October 22, 2007

Lakeia D Johnson is a Physician Assistant, Surgical based in Newark, NJ. Lakeia D Johnson practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Lakeia D Johnson is 1912196353 and holds a License No. 25MP00158500 (NJ). The current practice location address for Lakeia D Johnson is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5000.

Provider Profile Details

NPI Number
1912196353
Provider Name
Lakeia D Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ 07102-1909
Phone Number
973-877-5000
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
October 22, 2007
Last Update Date
October 22, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5000
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
434 Hollywood Ave
Hillside, NJ 07205-2716
City
Hillside
State
NJ
Zip
07205-2716
Phone Number
908-400-1996

License Information

License Number (1)
25MP00158500
License State (1)
NJ
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
25MP00158500
License State (2)
NJ
Taxonomy (2)
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 Lakeia D Johnson, PA-C?

The NPI number of Lakeia D Johnson, PA-C is 1912196353. It was assigned on October 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Lakeia D Johnson, PA-C?

Lakeia D Johnson, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NJ under license number 25MP00158500.

Where does Lakeia D Johnson, PA-C practice?

The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5000 (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 1912196353 directly on the NPPES registry website.

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