Individual provider Active NPI

Karlene R Johnson, NP

  • Family Nurse Practitioner
  • Paterson, NJ
National Provider Identifier
1245975754
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01270100 Issued in NJ
Practice address
680 Broadway
Paterson, NJ 07514-1524
Phone
(973) 925-2040
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01270100 NJ Primary

Addresses

Primary practice location

680 Broadway
Paterson, NJ 07514-1524

Mailing address

175 E 23Rd St
Paterson, NJ 07514-2369
Phone (201) 968-6174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011002901 NJ Practitioner - Nurse Practitioner 7214303536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Bergen Health PCGroup PAC ID 2062916810, 14 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142

375 Paterson Ave
Wallington, NJ 07057-2100
Phone (551) 276-5864

Hospital & facility affiliations

  • Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Improvement Authority CurrentSince Jan 23, 2023 Accepting new patients
Bergen County Improvement Authority CurrentSince Jan 23, 2023 Accepting new patients
One Bergen Health PC CurrentSince Jan 1, 2026 Accepting new patients
Fastmed of NJ LLC CurrentSince Jun 30, 2022 Accepting new patients

Locations

476 Colfax Ave
Clifton, NJ 07013
Phone (973) 594-7977

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

680 Broadway
Ste 101
Paterson, NJ 07514
Phone (973) 341-1130

680 Broadway
Paterson, NJ 07514
Phone (973) 977-6600

375 Paterson Ave
Wallington, NJ 07057
Phone (551) 276-5864

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9740/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1245975754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E 23RD ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075142369",
            "telephone_number": "201-968-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141524",
            "telephone_number": "973-925-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARLENE",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01270100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.