Active NPI
Robert Alan Johnson, MD
- Pulmonary Disease Physician
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 206842
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016486740009 | Medicaid | PA | |
| 01753126 | Medicaid | NY | |
| 0016486740008 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
70 Hatfield LN
Goshen, NY 10924-6734
Phone (845) 294-8888
Hospital & facility affiliations
- Residential Healthcare of NE PA, LLC
- Willcare Chha (Newburgh)
- Personal Home Healthcare and Hospice
- Bon Secours Community Hospital
- St Anthony Community Hospital
- Garnet Health Medical Center
- Morristown Medical Center
- Wayne Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.73 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Charity Health System Medical Group, P.C. | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Home Health Agency
- Newburgh, NY
- NPI 1609926195
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- Home Health Agency
- Moosic, PA
- NPI 1215238548
-
- Home Health Agency
- Blakely, PA
- NPI 1033682364
-
- General Acute Care Hospital
- Honesdale, PA
- NPI 1124026182
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.