Active NPI
Natalie Johnson, MD, PC
- Internal Medicine Physician
- West Orange, NJ
National Provider Identifier
1487917480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA06341400
- Legal business name
- NATALIE JOHNSON, MD, PC
- Practice address
- 470 Prospect Avenue
Suite 200
West Orange, NJ 07052-4106 - Phone
- (973) 243-0290
- Fax
- (973) 243-1863
- NPI assigned
- Jun 25, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Natalie Johnson, M.D., P.C
- Title
- Physician
- Phone
- (973) 243-0290
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06341400 | NJ | Primary |
Addresses
Primary practice location
470 Prospect Avenue
Suite 200
West Orange, NJ 07052-4106
Mailing address
470 Prospect Ave
Suite 200
West Orange, NJ 07052-4153
Phone (973) 243-0292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Natalie Johnson MD PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1114273547
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1114032059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1487917480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 PROSPECT AVE",
"address_2": "SUITE 200",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524153",
"telephone_number": "973-243-0292",
"fax_number": "973-243-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 PROSPECT AVENUE",
"address_2": "SUITE 200",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070524106",
"telephone_number": "973-243-0290",
"fax_number": "973-243-1863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATALIE JOHNSON, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "973-243-0290",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., P.C"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06341400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.