Fletcher J Johnson MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

104540 Issued in NY

Legal business name

FLETCHER J JOHNSON MD PC

Practice address

10 Esquire Road
Suite 19
New City, NY 10956

Phone

(845) 639-1576

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanne H Johnson

Title

Office Manager

Phone

(845) 639-1576

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Katherine A. Ward Buckley, DPM

  • Foot Surgery Podiatrist
  • Ossining, NY
  • NPI 1386759512
  NPD (past)
• Sherleen Mohamdi-Osman, MD

  • Nephrology Physician
  • Wake Island, HI
  • NPI 1871706358
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207440000000",
    "number": "1114930872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE ROAD",
            "address_2": "SUITE 19",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-639-1576",
            "fax_number": "845-639-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ESQUIRE ROAD",
            "address_2": "SUITE 19",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-639-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER J JOHNSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-04-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-639-1576",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "104540",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA 23275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00554334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindi Fitzpatrick, LMSW
• Patricia N Fitzsimons
• Donna Flahive, SPECIAL EDUCATOR
• Denise D Fleisher, OTR/L
• Suzanne Fleming, RN
• Kenneth Howard Fliesser, LCSW
• Holly Nicole Flodin
• Judy Lynn Florsheim
• June Forman
• Rebecca Forman, O.D.

• Surgery Physician in New City, NY
• Providers in New City, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2008; 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.