Active NPI
Nina Imasi McFarlane-Johansson, M.D.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Hartford, CT
National Provider Identifier
1083877906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 249431
- Practice address
- 282 Washington Street
Emergency Dept. Connecticut Children'S Medical Center
Hartford, CT 06106 - Phone
- (860) 545-9658
- Fax
- (860) 545-8627
- NPI assigned
- Jul 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 249431 | NY | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 249431 | NY | Primary |
Addresses
Primary practice location
282 Washington Street
Emergency Dept. Connecticut Children'S Medical Center
Hartford, CT 06106
Mailing address
282 Washington Street
Emergency Dept. Connecticut Children'S Medical Center
Hartford, CT 06108
Phone (860) 545-9658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1102 Bates Ave
Houston, TX 77030-2698
PO Box
Dallas, TX 75284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249431 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Children's Hospital
- Houston, TX
- NPI 1477643690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1083877906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 WASHINGTON STREET",
"address_2": "EMERGENCY DEPT. CONNECTICUT CHILDREN'S MEDICAL CENTER",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06108",
"telephone_number": "860-545-9658",
"fax_number": "860-545-8627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON STREET",
"address_2": "EMERGENCY DEPT. CONNECTICUT CHILDREN'S MEDICAL CENTER",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06106",
"telephone_number": "860-545-9658",
"fax_number": "860-545-8627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFARLANE-JOHANSSON",
"first_name": "NINA",
"middle_name": "IMASI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "249431",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NY",
"license": "249431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.