Individual provider Active NPI

Nina Imasi McFarlane-Johansson, M.D.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Hartford, CT
National Provider Identifier
1083877906
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
249431 Issued in NY
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

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324001002 TX Practitioner - Pediatric Medicine 4284701491 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
249431NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.