Active NPI
Johnson Health Care, Inc. Dba Johnson Surgery Center
- Ambulatory Surgical Clinic/Center
- Enfield, CT
National Provider Identifier
1255338232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0066
- Legal business name
- JOHNSON HEALTH CARE, INC. DBA JOHNSON SURGERY CENTER
- Practice address
- 148 Hazard Ave
Enfield, CT 06082-4520 - Phone
- (860) 763-7650
- NPI assigned
- Jul 5, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Valente
- Title
- Vice President
- Phone
- (860) 763-7667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0066 | CT | Primary |
Addresses
Primary practice location
148 Hazard Ave
Enfield, CT 06082-4520
Mailing address
24 Battle St
P.O. Box 750
Somers, CT 06071-1629
Phone (860) 684-8417
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IR0098 | Other | CT | HEALTH NET PROVIDER NUMBE |
| A487059 | Other | CT | OXFORD PROVIDER NUMBER |
| 122 | Other | CT | ANTHEM BC/BS PROVIDER NUM |
| 775436 | Other | CT | CONNECTICARE PROVIDER NUM |
National Provider Directory
National Provider Directory- Tax ID family
- Johnson Health Care Inc Dba Johnson Surgery Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Medicine Clinic/Center
- Enfield, CT
- NPI 1740314061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255338232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BATTLE ST",
"address_2": "P.O. BOX 750",
"city": "SOMERS",
"state": "CT",
"postal_code": "060711629",
"telephone_number": "860-684-8417",
"fax_number": "860-684-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 HAZARD AVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060824520",
"telephone_number": "860-763-7650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON HEALTH CARE, INC. DBA JOHNSON SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VALENTE",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "860-763-7667",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CT",
"license": "0066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PROVIDER NUMBE",
"identifier": "IR0098",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "A487059",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS PROVIDER NUM",
"identifier": "122",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE PROVIDER NUM",
"identifier": "775436",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.