Individual provider Active NPI

Marie Crespo Johnson, RN,APN,C

  • Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1306906227
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NO11572100 Issued in NJ
Practice address
95 Madison Ave
Morristown, NJ 07960-6092
Phone
(973) 718-5775
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NO11572100 NJ Primary

Addresses

Primary practice location

95 Madison Ave
Morristown, NJ 07960-6092

Mailing address

95 Madison Ave
Morristown, NJ 07960-6092
Phone (973) 718-5775

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
I20200521002190 NJ Practitioner - Nurse Practitioner 3678799475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

275 Hobart St
Perth Amboy, NJ 08861-3396
Phone (732) 376-9333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NO11572100NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Medical Center, Inc. CurrentSince Mar 15, 2022 Accepting new patients
Central Jersey Medical Center, Inc CurrentSince Mar 15, 2022 Accepting new patients
Central Jersey Medical Center, Inc. Past Accepting new patients

Locations

80 Johnson Ave
Newark, NJ 07108
Phone (973) 623-8592

275 Hobart St
Perth Amboy, NJ 08861
Phone (732) 376-6635

Interoperability endpoints

  • Direct secure messaging: marie.johnson.1@16647.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1306906227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-718-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606092",
            "telephone_number": "973-718-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARIE",
        "middle_name": "CRESPO",
        "credential": "RN,APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NO11572100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.