Individual provider Active NPI

Robert Alan Johnson, MD

  • Pulmonary Disease Physician
  • Goshen, NY
National Provider Identifier
1205858024
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
206842 Issued in NY
Practice address
70 Hatfield LN Ste 101
Goshen, NY 10924-6735
Phone
(845) 294-8888
Fax
(845) 291-7054
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD061877L PA
Internal Medicine Physician 207R00000X 206842 NY
Pulmonary Disease Physician 207RP1001X 206842 NY Primary

Addresses

Primary practice location

70 Hatfield LN Ste 101
Goshen, NY 10924-6735

Mailing address

20 Grand St FL 3
Warwick, NY 10990-1035
Phone (845) 987-3906

Other practice location 1

111 Wheatfield Dr
Suite 2
Milford, PA 18337-7697
Phone (570) 296-1003

Other practice location 2

161 E Main St Ste 300
Port Jervis, NY 12771-2113
Phone (845) 856-3284

Other identifiers 3

IdentifierTypeStateIssuer
0016486740009MedicaidPA
01753126MedicaidNY
0016486740008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100903000089 PA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4284772021
I20111209000080 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4284772021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians

Practice addresses (Care Compare)

70 Hatfield LN
Goshen, NY 10924-6734
Phone (845) 294-8888

Hospital & facility affiliations

  • Residential Healthcare of NE PA, LLC Home health agency, Moosic, PA, CCN 397726
  • Willcare Chha (Newburgh) Home health agency, Newburgh, NY, CCN 337408
  • Personal Home Healthcare and Hospice Home health agency, Blakely, PA, CCN 398192
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as apm
Quality
87.82
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Charity Health System Medical Group, P.C. Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

70 Hatfield Ln
Goshen, NY 10924
Phone (845) 294-2006

70 Hatfield Ln
Ste 101
Goshen, NY 10924
Phone (845) 294-8888

161 E Main St
Ste 300
Port Jervis, NY 12771
Phone (845) 856-3284

33 Delaware St
Port Jervis, NY 12771
Phone (845) 856-5765

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1205858024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST FL 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-987-3906",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HATFIELD LN STE 101",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246735",
            "telephone_number": "845-294-8888",
            "fax_number": "845-291-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Wheatfield Dr",
            "address_2": "SUITE 2",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377697",
            "country_code": "US",
            "telephone_number": "570-296-1003",
            "fax_number": "570-296-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 E Main St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Port Jervis",
            "state": "NY",
            "postal_code": "127712113",
            "country_code": "US",
            "telephone_number": "845-856-3284",
            "fax_number": "845-856-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD061877L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "206842",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "206842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016486740009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01753126",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016486740008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.