Patricia Johnson

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

8 Truxton LN
Fort Salonga, NY 11768-2543

Phone

(631) 742-7574

NPI assigned

Nov 18, 2008

Last updated

Aug 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1174778161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TRUXTON LN",
            "city": "FORT SALONGA",
            "state": "NY",
            "postal_code": "117682543",
            "telephone_number": "631-742-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TRUXTON LN",
            "city": "FORT SALONGA",
            "state": "NY",
            "postal_code": "117682543",
            "telephone_number": "631-742-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Fischer, LMT
• Jeanine Harten, MA,OTR/L
• Ronita Adora Humphrey
• Laura Imbrosciano, OTR/L
• Catherine Jannuzzi, MA, ATR-BC, LCAT
• Jeannine Kennedy
• Marissa Leigh Kistner, MS ED.
• Giovanni Luca Kubanick
• Laura Marr LCSW Services, P.C.
• Jaime A Lelle, RN

• Early Intervention Provider Agency in Fort Salonga, NY
• Providers in Fort Salonga, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.