Dr. Golda O Johnson MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

174977 Issued in NY

Legal business name

DR. GOLDA O JOHNSON MD, PC

Practice address

910 Park PL
Suite 1B
Brooklyn, NY 11216-4000

Phone

(718) 773-0975

Fax

(718) 773-8844

NPI assigned

Jun 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Golda Odette Johnson, MDNPI 1780668236

Title

Ceo

Phone

(718) 773-0975

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Golda Odette Johnson, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1780668236
  NPD (past) Authorized official

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1033524202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PARK PL",
            "address_2": "SUITE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164000",
            "telephone_number": "718-773-0975",
            "fax_number": "718-773-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PARK PL",
            "address_2": "SUITE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164000",
            "telephone_number": "718-773-0975",
            "fax_number": "718-773-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GOLDA O JOHNSON MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GOLDA",
        "authorized_official_middle_name": "ODETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-773-0975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03773911",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Elias Tzanides Physician P.C.
• Dr. Eman Al-Janabi Medical PC
• Dr. Enrico Caprioni D.P.M. PC
• Dr. Finkelshteyn Medical, P.C.
• Dr. Golda Johnson, M.D. P.C.
• Dr. Hecht & Wettan
• Dr. Henry Leon Safier, M.D., P.C.
• Dr. Ibrahim Fatiha Chiropractic,P.C.
• Dr. Igor Chan Min M.D.
• Dr. Ira Tartack

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.