Active NPI
Justin John, RN
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 154923
- Practice address
- 560 W 168TH St
New York, NY 10032-3917 - Phone
- (212) 305-4318
- NPI assigned
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 747312 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 154923 | NY | Primary |
Addresses
Primary practice location
560 W 168TH St
New York, NY 10032-3917
Mailing address
127 Norman Dr
East Meadow, NY 11554-1639
Phone (516) 303-6814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5631
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6088
Hospital & facility affiliations
- Jamaica Hospital Medical Center
- Flushing Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154923 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia School of Nursing | Current | Accepting new patients | |
| Jamaica Anesthesiologist, PC | Current | Accepting new patients |
Locations
560 W 168th St
New York, NY 10032
Phone (212) 305-4318
8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Jamaica, NY
- NPI 1508812892
-
- Nursing Care Agency
- New York, NY
- NPI 1578240479
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1154461622
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1548217763
-
- General Acute Care Hospital
- Richmond Hill, NY
- NPI 1245370717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1013647205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 NORMAN DR",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "115541639",
"telephone_number": "516-303-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323917",
"telephone_number": "212-305-4318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JUSTIN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NY",
"license": "747312",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "154923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.