Organization Active NPI

Natalie Johnson, MD., PC

  • Internal Medicine Physician
  • West Orange, NJ
National Provider Identifier
1114273547
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06341400 Issued in NJ
Legal business name
NATALIE JOHNSON, MD., PC
Practice address
470 Prospect Ave
Suite 200
West Orange, NJ 07052-4153
Phone
(973) 243-0290
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Natalie Alves Johnson, PHYSICIANNPI 1114032059
Title
MD, PC
Phone
(973) 243-0290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA06341400 NJ Primary

Addresses

Primary practice location

470 Prospect Ave
Suite 200
West Orange, NJ 07052-4153

Mailing address

470 Prospect Ave
Suite 200
West Orange, NJ 07052-4153
Phone (973) 243-0290

National Provider Directory

National Provider Directory
Tax ID family
Natalie Johnson MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

470 Prospect Ave
Ste 200
West Orange, NJ 07052
Phone (973) 243-0290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1114273547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PROSPECT AVE",
            "address_2": "SUITE 200",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524153",
            "telephone_number": "973-243-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PROSPECT AVE",
            "address_2": "SUITE 200",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524153",
            "telephone_number": "973-243-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE JOHNSON, MD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ALVES",
        "authorized_official_title_or_position": "MD, PC",
        "authorized_official_telephone_number": "973-243-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICIAN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06341400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.