Organization Active NPI

John G Johnson Enterprises, LLC

  • Specialist
  • Cinnaminson, NJ
National Provider Identifier
1083652010
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40QA00276200 Issued in NJ
Legal business name
JOHN G JOHNSON ENTERPRISES, LLC
Practice address
2200 Wallace Blvd
Suite E
Cinnaminson, NJ 08077-2578
Phone
(856) 829-0015
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Mr. John G Johnson, PT, MS
Title
Physical Therapist
Phone
(856) 829-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40QA00276200 NJ Primary

Addresses

Primary practice location

2200 Wallace Blvd
Suite E
Cinnaminson, NJ 08077-2578

Mailing address

124 Swedes Run Dr
Delran, NJ 08075-2116
Phone (856) 461-8595

Other names 1

  • EverFit Doing business as

National Provider Directory

National Provider Directory

Locations

1934 Route 541
Westampton, NJ 08060
Phone (609) 261-2600

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1083652010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SWEDES RUN DR",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752116",
            "telephone_number": "856-461-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WALLACE BLVD",
            "address_2": "SUITE E",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772578",
            "telephone_number": "856-829-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G JOHNSON ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "856-829-0015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA00276200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EverFit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.