Angel Marie Johnson, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

258657 Issued in MA

Practice address

910 Washington Street
Suite 200
New York, MA 10028-7173

Phone

(408) 529-2965

NPI assigned

Aug 25, 2011

Last updated

Jan 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

New York Medical College, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Greater Boston Urology LLCGroup PAC ID 1153516513, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Metrowest Medical Center Hospital, Framingham, MA, CCN 220175
• Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
• Brigham and Women's Hospital Hospital, Boston, MA, CCN 220110
• Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
• Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
• Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajohnson254143@direct.bilh.masshiway.net
• Direct secure messaging: angeljohnson@gbu.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Boston Urology, LLC

  • Urology Physician
  • Dedham, MA
  • NPI 1003120411
  Medicare reassignment Care Compare group
• Gbu Bidco LLC

  • Urology Physician
  • Framingham, MA
  • NPI 1972051977
  Medicare reassignment NPD
• Gbu Steward LLC

  • Urology Physician
  • North Easton, MA
  • NPI 1275064909
  Medicare reassignment NPD
• Brockton Urology Clinic Inc

  • Urology Physician
  • North Easton, MA
  • NPI 1336147438
  NPD
• Gbu Neqca, LLC

  • Urology Physician
  • Framingham, MA
  • NPI 1275093270
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Hospital Milton Inc

  • General Acute Care Hospital
  • Milton, MA
  • NPI 1174618953
  Care Compare affiliation
• Beth Israel Deaconess Hospital Plymouth, Inc.

  • General Acute Care Hospital
  • Plymouth, MA
  • NPI 1043299001
  Care Compare affiliation
• Brigham & Womens Hospital, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1790717650
  Care Compare affiliation
• Lifespan of Massachusetts - Taunton Inc

  • General Acute Care Hospital
  • Taunton, MA
  • NPI 1609603877
  Care Compare affiliation
• Rehabilitation Hospital of the Cape and Islands, Corporation

  dba Spaulding Rehabilitation Hospital - Cape Cod

  • Rehabilitation Hospital
  • E Sandwich, MA
  • NPI 1265489736

  Inpatient rehabilitation facility

  Care Compare affiliation
• VHS Acquisition Subsidiary Number 9 Inc

  dba MetroWest Medical Center

  • General Acute Care Hospital
  • Framingham, MA
  • NPI 1740252592
  Care Compare affiliation

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1194005934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WASHINGTON ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266022",
            "telephone_number": "408-529-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WASHINGTON STREET",
            "address_2": "SUITE 200",
            "city": "NEW YORK",
            "state": "MA",
            "postal_code": "100287173",
            "telephone_number": "408-529-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGEL",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "258657",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "258657",
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MA",
            "license": "258657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.

Verify at the official NPI Registry.