Individual provider Active NPI

Stephen A Johnson, M.D.

  • Neurological Surgery Physician
  • New Brunswick, NJ
National Provider Identifier
1003178682
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
25MA10659400 Issued in NJ
Practice address
10 Plum St Dept of
New Brunswick, NJ 08901-2065
Phone
(732) 235-6333
NPI assigned
Jun 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25MA10659400 NJ Primary

Addresses

Primary practice location

10 Plum St Dept of
New Brunswick, NJ 08901-2065

Mailing address

10 Plum St Dept of
New Brunswick, NJ 08901-2065
Phone (732) 235-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918000442 NJ Practitioner - Neurosurgery 4486984408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Perelman School of Med at the University of Pennsylvania, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Brain and Spine LLCGroup PAC ID 5193169464, 26 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 993-7100

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (973) 993-7100

99 Beauvoir Ave
FL 5
Summit, NJ 07901-3533
Phone (908) 516-2941

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion30
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Aug 5, 2019 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Aug 5, 2019 Accepting new patients
Atlantic Brain and Spine LLC Neurological Surgery CurrentSince Jan 1, 2025 Accepting new patients
Oncology & Hematology Specialists,P.a. Past Accepting new patients

Locations

100 Madison Ave
Ste 3101
Morristown, NJ 07960
Phone (973) 267-9543

10 Madison Ave
Ste 202
Morristown, NJ 07960
Phone (862) 398-1578

95 Madison Ave
Ste A06
Morristown, NJ 07960
Phone (973) 993-7100

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

11 Overlook Rd
Ste 180
Summit, NJ 07901
Phone (973) 845-2500

66 W Gilbert St
Ste 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJGCDD/Endpoint/AJGCDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1003178682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLUM ST DEPT OF",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012065",
            "telephone_number": "732-235-6333",
            "fax_number": "412-647-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLUM ST DEPT OF",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012065",
            "telephone_number": "732-235-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "25MA10659400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.