Active NPI
Johnson Internal Medicine Inc
- Internal Medicine Physician
- Boca Raton, FL
National Provider Identifier
1285663096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS0004672
- Legal business name
- JOHNSON INTERNAL MEDICINE INC
- Practice address
- 1601 Clint Moore Rd
#155
Boca Raton, FL 33487-2768 - Phone
- (561) 338-0700
- Fax
- (561) 362-9960
- NPI assigned
- Jul 2, 2006
- Last updated
- May 26, 2011
- 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
- Dr. C Robert Johnson, DO
- Title
- President
- Phone
- (561) 338-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS0004672 | FL | Primary |
Addresses
Primary practice location
1601 Clint Moore Rd
#155
Boca Raton, FL 33487-2768
Mailing address
1601 Clint Moore Rd
155
Boca Raton, FL 33487-2768
Phone (561) 338-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0939505 | Johnson Internal Medicine | Certificate of waiver | Jan 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
1601 Clint Moore Rd
Ste 155
Boca Raton, FL 33487
Phone (561) 338-0700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HHGACD
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1992999122
-
- Medical Physician Assistant
- Boca Raton, FL
- NPI 1831244367
-
- Physician Assistant
- Boca Raton, FL
- NPI 1124578331
-
- General Practice Physician
- Boca Raton, FL
- NPI 1518245547
-
- Family Nurse Practitioner
- Boca Raton, FL
- NPI 1164667598
-
- Family Nurse Practitioner
- Belle Glade, FL
- NPI 1376699017
-
- Hematology & Oncology Physician
- Potsdam, NY
- NPI 1245289453
-
- Family Nurse Practitioner
- Boca Raton, FL
- NPI 1366680241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306368000000",
"number": "1285663096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD",
"address_2": "155",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-338-0700",
"fax_number": "561-362-9960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CLINT MOORE RD",
"address_2": "#155",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872768",
"telephone_number": "561-338-0700",
"fax_number": "561-362-9960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON INTERNAL MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2011-05-26",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "C",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-338-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS0004672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- John P Schosheim, MD.,PA
- John P. Girard MD PA
- John Varsam Psychotherapy, LLC (John Varsam Psychotherapy)
- Johnson & Mullings Services LLC (JMS Home Care Services)
- Christine Johnson Hackshaw, ARNP
- Elizabeth Amy Johnson-Gutierrez, L.M.H.C
- Charles Robert Johnson, D.O.
- Dane Johnson
- David Michael Johnson, LMT
- Derek A Johnson, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.