Individual provider Active NPI

Christopher Lynn Johnson, MD

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1477794105
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
229970 Issued in NY
Practice address
22 W 48TH St
Ste 300
New York, NY 10036-1818
Phone
(877) 866-7123
NPI assigned
Mar 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229970 NY
Plastic Surgery Physician 208200000X G77562 CA
Trauma Surgery Physician 2086S0127X G77562 CA
Plastic Surgery Physician 208200000X 229970 NY Primary

Addresses

Primary practice location

22 W 48TH St
Ste 300
New York, NY 10036-1818

Mailing address

Box 175
302A West 12TH Street
New York, NY 10014
Phone (212) 206-6996

Other identifiers 2

IdentifierTypeStateIssuer
G77562OtherCACALIFORNIA MEDICAL BOARD NUMBER
229970OtherNYNEW YORK MEDICAL BOARD

Other names 1

  • Dr. Chris Johnson Other name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150130001957 NY Practitioner - Plastic and Reconstructive SurgeryPractitioner - Family PracticePractitioner - Peripheral Vascular Disease 2062636202 Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77562CAMDPharmacist
G77562CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic Surgery Center Plastic Surgery CurrentSince Sep 8, 2019 Accepting new patients
Cljohnsonmd PC Plastic Surgery CurrentSince Sep 8, 2019 Accepting new patients

Locations

22 W 48th St
Ste 300
New York, NY 10036
Phone (212) 271-0156

Organizations & group practices 2

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1477794105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 175",
            "address_2": "302A WEST 12TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10014",
            "telephone_number": "212-206-6996",
            "fax_number": "212-636-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 48TH ST",
            "address_2": "STE 300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100361818",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229970",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G77562",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G77562",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "229970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD NUMBER",
            "identifier": "G77562",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK MEDICAL BOARD",
            "identifier": "229970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "JOHNSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.