Active NPI
Clay Johnson
- Physician Assistant
- Flemington, NJ
National Provider Identifier
1164021713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00676700
- Practice address
- 8100 Wescott Dr
Flemington, NJ 08822-4671 - Phone
- (908) 264-5993
- NPI assigned
- Oct 23, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hunterdon Orthopedic Institute PA
Practice addresses (Care Compare)
8100 Wescott Dr
Suite 101
Flemington, NJ 08822-4671
Phone (908) 782-0600
Hospital & facility affiliations
- Hunterdon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.99 of 100
- Quality
- 79.49
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 90.48
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220426000618 | NJ | Practitioner - Physician Assistant | 4789071564 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA061958 | PA | MD | Physician Assistant |
Interoperability endpoints
- clay.johnson.p63@direct.hunterdon.nextgenshare.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA061958 | PA | |
| Physician Assistant | 363A00000X | 25MP00676700 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
8100 Wescott Dr
Flemington, NJ 08822-4671
Mailing address
19 Riverhill Apt B
New Hope, PA 18938-1262
Phone (716) 307-1563
Other practice location 1
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 476-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2022.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1164021713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 RIVERHILL APT B",
"city": "NEW HOPE",
"state": "PA",
"postal_code": "189381262",
"telephone_number": "716-307-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 WESCOTT DR",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224671",
"telephone_number": "908-264-5993"
}
],
"practiceLocations": [
{
"address_1": "100 E Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Wynnewood",
"state": "PA",
"postal_code": "190963450",
"country_code": "US",
"telephone_number": "484-476-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "CLAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-23",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA061958",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00676700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flemington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.