Active NPI
Johanna Kate Halfon, MD
- Obstetrics & Gynecology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 269331-1
- Practice address
- 161 Fort Washington Ave
New York, NY 10032-3729 - Phone
- (212) 305-5515
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2014-00511 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | 269331-1 | NY | Primary |
Addresses
Primary practice location
161 Fort Washington Ave
New York, NY 10032-3729
Mailing address
22 W 77TH St Apt 66
New York, NY 10024-5154
Phone (203) 605-9670
Other practice location 1
10275 Penningcroft Ln
Mechanicsville, VA 23116-5149
Phone (203) 605-9670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Yale University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650
Hospital & facility affiliations
- John T Mather Memorial Hospital of Port Jefferson
- Suny/Stony Brook University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-00511 | NC | MD | Obstetrics & Gynecology Physician |
| 269331-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Obstetrics & Gynecology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Obstetrics & Gynecology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| University Associates in Obstetrics & Gynecology, University Faculty P | Obstetrics & Gynecology | Current | Accepting new patients |
| University Hospital at Stony Brook | Past | Accepting new patients |
Locations
774 Sycamore Ave
Ste A
Bohemia, NY 11716
Phone (631) 218-9595
51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
333 Route 25A
Ste 30
Rocky Point, NY 11778
Phone (631) 821-4444
200 Main St
Ste 6
Setauket, NY 11733
Phone (631) 751-7676
200 Main St
Ste 2
Setauket, NY 11733
Phone (631) 751-9494
2026 Richmond Rd
Staten Island, NY 10306
Phone (212) 305-2300
100 Nicolls Rd
Rm 60
Stony Brook, NY 11794
Phone (631) 444-7653
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Stony Brook, NY
- NPI 1538114723
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Obstetrics & Gynecology
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194045476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 W 77TH ST APT 66",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100245154",
"telephone_number": "203-605-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FORT WASHINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323729",
"telephone_number": "212-305-5515"
}
],
"practiceLocations": [
{
"address_1": "10275 Penningcroft Ln",
"address_purpose": "LOCATION",
"city": "Mechanicsville",
"state": "VA",
"postal_code": "231165149",
"country_code": "US",
"telephone_number": "203-605-9670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALFON",
"first_name": "JOHANNA",
"middle_name": "KATE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2014-00511",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "269331-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.