Active NPI
Vania Johnson
- Student in an Organized Health Care Education/Training Program
- Jackson, NJ
National Provider Identifier
1073069571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 26NH14609400
- Practice address
- 310 S New Prospect Rd Apt 8G
Jackson, NJ 08527-1959 - Phone
- (732) 677-6613
- NPI assigned
- Aug 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 26NH14609400 | NJ | Primary |
Addresses
Primary practice location
310 S New Prospect Rd Apt 8G
Jackson, NJ 08527-1959
Mailing address
310 S New Prospect Rd Apt 8G
Jackson, NJ 08527-1959
Phone (732) 677-6613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J61737630051922 | Other | NJ | DRIVERS LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NH14609400 | NJ | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472083200000",
"number": "1073069571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S NEW PROSPECT RD APT 8G",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271959",
"telephone_number": "732-677-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S NEW PROSPECT RD APT 8G",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085271959",
"telephone_number": "732-677-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VANIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NJ",
"license": "26NH14609400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "J61737630051922",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, NJ
- Jersey Shore Monmouth Family Medicine Group PC (Meridian JS Monmouth Family Medical Group at Jackson Village)
- Jersey Shore Monmouth Family Medicine Group PC (Meridian JS Monmouth Family Medicine Group at Howell Jackson Medical C)
- Sharon Lynn Jessie, LCSW
- John Drulle MD & Emilia Eiras MD PC
- Alice R Johnson Christensen, MA, CCC-SLP
- Kevin Richard Jones, BCBA, MED
- Joy Occupational Therapy Corp
- Julian Sansone, DPM, PC
- Rose Jungreis
- Just for U, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.