Individual provider Active NPI

Shirley Harris Johnson, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Jersey City, NJ
National Provider Identifier
1043167307
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
26NO12364300 Issued in NJ
Practice address
700 Newark Ave Apt 312
Jersey City, NJ 07306-2812
Phone
(201) 451-5425
Fax
(201) 451-7499
NPI assigned
Mar 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 26NO12364300 NJ Primary

Addresses

Primary practice location

700 Newark Ave Apt 312
Jersey City, NJ 07306-2812

Mailing address

700 Newark Ave Apt 312
Jersey City, NJ 07306-2812
Phone (201) 451-5425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NO12364300NJMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1773446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1043167307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NEWARK AVE APT 312",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062812",
            "telephone_number": "201-451-5425",
            "fax_number": "201-451-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NEWARK AVE APT 312",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062812",
            "telephone_number": "201-451-5425",
            "fax_number": "201-451-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS JOHNSON",
        "first_name": "SHIRLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-14",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "26NO12364300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.