Zachary T/C Johnson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

300 Hamilton Ave Ste 413
White Plains, NY 10601-1817

Phone

(845) 452-2728

NPI assigned

Oct 13, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• People Incorporated

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1942929302
  NPD
• Puerto Rican Organization to Motivate Enlighten and Serve Addicts Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bronx, NY
  • NPI 1407830946
  NPD (past)

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1043936818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FULTON AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032857",
            "telephone_number": "845-452-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HAMILTON AVE STE 413",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011817",
            "telephone_number": "845-452-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ZACHARY",
        "middle_name": "T/C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "darosemberg@people-usa.org",
            "affiliation": "N",
            "endpointDescription": "Company's Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 Hamilton Ave Ste 413",
            "city": "White Plains",
            "state": "NY",
            "country_code": "US",
            "postal_code": "106011817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Herbert Johnson
• Randa Johnson
• Samantha Johnson
• Stacia Dwaina Johnson
• Taylor Renay Johnson
• Jennifer Jolley, NP
• Pamela Jones-Brice, LCSW, CASAC
• Carol Joyce Jones, FNP
• Deborah Jones, PT
• Jeanine Bari Primm Jones, LCSW

• Peer Specialist in White Plains, NY
• Providers in White Plains, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.