NPIMap

Individual provider Active NPI

Richard W Johnson, MD

  • Neurological Surgery Physician
  • Rego Park, NY
National Provider Identifier
1356495782
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
180402 Issued in NY
Practice address
9525 Queens Blvd
2ND FL Neurosurgery Dept
Rego Park, NY 11374
Phone
(718) 459-7700
Fax
(718) 286-1140
NPI assigned
Jan 23, 2007
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 180402 NY Primary

Addresses

Primary practice location

9525 Queens Blvd
2ND FL Neurosurgery Dept
Rego Park, NY 11374

Mailing address

PO Box 747821
Rego Park, NY 11374
Phone (718) 459-7700

Other practice location 1

8002 Kew Gardens Rd
Kew Gardens, NY 11415-3600
Phone (718) 459-7700

Other identifiers 1

IdentifierTypeStateIssuer
01514929MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rjohnson307849@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407001665 NY Practitioner - Neurosurgery 9133112733 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Georgetown University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

1530 Front St
East Meadow, NY 11554-2265
Phone (516) 324-7500

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone (718) 261-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion183
Laminectomy or laminotomy (partial removal of spine bones)98
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jan 1, 2021 Accepting new patients
New York University Neurological Surgery CurrentSince Jan 1, 2021 Accepting new patients
Nassau Health Care Corporation CurrentSince Jul 1, 2017 Accepting new patients
Nassau Health Care Corporation CurrentSince Jul 1, 2017 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
NYU Langone Hospitals Past Accepting new patients
Nyumc Radiology Associates Past Accepting new patients

Locations

1530 Front St
East Meadow, NY 11554
Phone (516) 324-7500

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

8002 Kew Gardens Rd
Ste 703
Kew Gardens, NY 11415
Phone (718) 459-7700

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Networks

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

Interoperability endpoints

  • Direct secure messaging: rjohnson24626@direct-chsli.net
  • Direct secure messaging: rjohnson307849@nyumc.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1356495782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747821",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-459-7700",
            "fax_number": "718-286-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 QUEENS BLVD",
            "address_2": "2ND FL NEUROSURGERY DEPT",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-459-7700",
            "fax_number": "718-286-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8002 Kew Gardens Rd",
            "address_purpose": "LOCATION",
            "city": "Kew Gardens",
            "state": "NY",
            "postal_code": "114153600",
            "country_code": "US",
            "telephone_number": "718-459-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "180402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01514929",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rjohnson307849@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "8002 Kew Gardens Rd",
            "city": "Kew Gardens",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114153600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.