Gloria Maria Johnson, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F307643 Issued in NY

Practice address

264 N Hickory St
Massapequa, NY 11758-2924

Phone

(718) 781-5554

NPI assigned

Nov 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prominis Medical Services PCGroup PAC ID 9537124441, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: gloriajohnson@imppllc.allscriptsdirect.net

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.

• Prominis Medical Services PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1841323771
  Medicare reassignment Care Compare group NPD
• CHS Physician Partners, PC

  dba Cardiac Interventional Group

  • Interventional Cardiology Physician
  • Fresh Meadows, NY
  • NPI 1407089345
  Medicare reassignment NPD
• Ny Family Practice Physicians, PC

  • Primary Care Clinic/Center
  • Woodhaven, NY
  • NPI 1790936854
  Medicare reassignment NPD
• CHS Physician Partners, P.C

  • Cardiovascular Disease Physician
  • Roslyn, NY
  • NPI 1164585725
  NPD
• CHS Physician Partners, P.C

  dba Great South Bay Medical Practice

  • Family Medicine Physician
  • West Sayville, NY
  • NPI 1679823512
  NPD
• Comprehensive Women'S Health of N.Y. PLLC

  • Obstetrics & Gynecology Physician
  • Glendale, NY
  • NPI 1982736047
  NPD
• Ny Family Medical Docs PC

  • Family Medicine Physician
  • Woodhaven, NY
  • NPI 1992204903
  NPD (past)

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1346792751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N HICKORY ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N HICKORY ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582924",
            "telephone_number": "718-781-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GLORIA",
        "middle_name": "MARIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Jimenez, MSN, RN
• John a. Facchin, O.D.
• John Bianchini PT PC
• Michelle Taunette Johnson-Ruiz, RN
• Danielle Johnson
• Nakia Shevette Johnson, LMT
• Porsha Johnson
• Mary Lou Jones, LCSW
• Jorge L. Gardyn, M.D., F.a.C.P., P.C.
• Beji Joseph, PT

• Adult Health Nurse Practitioner in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.

Verify at the official NPI Registry.