Christina M Johnson, PA
Individual provider Active NPI Physician Assistant · Pomona, NJ
NPI 1144319005 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144319005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00116400 (NJ)
- Practice address
- 65 Jimmie Leeds Road
Pomona, NJ 08240 - Phone
- (609) 652-3444
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Regional Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00116400 | NJ | Yes |
Addresses
Primary practice location
65 Jimmie Leeds Road
Pomona, NJ 08240
Mailing address
255 W Michigan Ave
P.O.Box 1123
Jackson, MI 49201-2218
Phone (517) 787-6440
Other providers in Pomona, NJ
- Anthony Frederick Ivy
- Jacqueline a. Robinson, P.C.
- Evan Jaep
- Jacqueline Jankowsky
- Eva Johannesen
- Charles Kaczmarski
- Jacqueline A Kelsch-Robinson
- John Matthew Kern
- Kaitlyn Knurek
- Merceditas Lagmay
All providers in Pomona, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.