Matthew Johnson

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

942091 Issued in VA

Legal business name

MATTHEW JOHNSON

Doing business as

Great Neck Insurance

Practice address

1305 Meadow Lake Rd
Virginia Beach, VA 23454-2069

Phone

(757) 481-6252

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Ellis Johnson

Title

President

Phone

(757) 481-6252

Specialties & licenses 1

Addresses

Other names 1

• Great Neck Insurance Doing business as

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1518419498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MEADOW LAKE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542069",
            "telephone_number": "757-481-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MEADOW LAKE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542069",
            "telephone_number": "757-481-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-481-6252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "VA",
            "license": "942091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Neck Insurance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casey Matson, CSFA, CST
• Leslie Ann Matson, PA-C
• Samantha M Matson, NP
• Asako Claire Matsuura, PHD
• Matthew Cronan, DMD, PLLC (Lighthouse Dental Group)
• Matthew Morgan Tignor MD
• Matthews Physical Therapy
• Tiffany Matthews-Snowden, MSW
• Ambrosia Matthews
• Charis Matthews

• Supports Brokerage Agency in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Supports Brokerage Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.