Miriam Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00935900 Issued in NJ

Practice address

101 Eisenhower Pkwy Ste 300, Unit 3247
Roseland, NJ 07068

Phone

(862) 438-3692

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY, OH, TX, DC, AZ, IA, NE8 enrollments

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 8

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Openloop Healthcare Partners New Jersey PCGroup PAC ID 7315326964, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 27)

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.

• Openloop Healthcare Partners New Jersey PC

  • General Practice Physician
  • Jersey City, NJ
  • NPI 1588335152
  Medicare reassignment Care Compare group NPD
• Capital Health Multispecialty Group

  • Surgery Physician
  • Trenton, NJ
  • NPI 1083072342
  Medicare reassignment NPD
• Careathome Medical Practice NJ

  • Internal Medicine Physician
  • Montclair, NJ
  • NPI 1659974301
  Medicare reassignment NPD
• Careathome Medical Practice Ky

  • Family Medicine Physician
  • New York, NY
  • NPI 1467040345

  AZ, IA, NE, OH, TX

  Medicare reassignment NPD
• Caringathome, LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1912595828

  DC, Family

  Medicare reassignment NPD
• Five Star Medical Office PC

  • Internal Medicine Physician
  • Forest Hills, NY
  • NPI 1760731459
  Medicare reassignment NPD
• Urban Family Practice PC

  • In Home Supportive Care Agency
  • Baltimore, MD
  • NPI 1164594099

  Family, NY

  Medicare reassignment NPD
• Welltrackone Corporation

  • Specialist
  • Hilton Head Island, SC
  • NPI 1770367468

  NJ

  Medicare reassignment NPD
• Careathome Medical Practice

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891319810

  Family

  NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD
• Cloud Health Medical Group of New Jersey, P.C.

  • Internal Medicine Physician
  • Union City, NJ
  • NPI 1043995467
  NPD (past)
• Batwatch Medical Group, LLC

  • Public Health & General Preventive Medicine Physician
  • Surprise, AZ
  • NPI 1114721321
  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1346894565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 FELA DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080771588",
            "telephone_number": "862-438-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY STE 300, UNIT 3247",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "07068",
            "telephone_number": "862-438-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5851 Legacy Cir Fl 6",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750245966",
            "country_code": "US",
            "telephone_number": "888-553-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MIRIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1105533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00935900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Jewish Service for the Developmentally Disabled of Metrowest, Inc.
• Jonathan a Nitche DMD LLC
• Jonathan'S Haven LLC
• Michelle Julian, LSW
• Justin Dinowitz DMD LLC
• Radha Kadiwar

• Family Nurse Practitioner in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.