Individual provider Active NPI

Karen L Johnson-Adamson, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1548367659
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
153418 Issued in NY
Practice address
470 Malcolm X Blvd
Suite 1P
New York, NY 10037-3003
Phone
(212) 862-8722
Fax
(212) 862-8599
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 153418 NY Primary

Addresses

Primary practice location

470 Malcolm X Blvd
Suite 1P
New York, NY 10037-3003

Mailing address

470 Malcolm X Blvd
Suite 1P
New York, NY 10037-3003
Phone (212) 862-8722

Other identifiers 3

IdentifierTypeStateIssuer
01571659MedicaidNY
153418A58OtherNYHEALTHFIRST PROVIDER ID
P3602331OtherNYOXFORD HEALTH PLANS ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1548367659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MALCOLM X BLVD",
            "address_2": "SUITE 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373003",
            "telephone_number": "212-862-8722",
            "fax_number": "212-862-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MALCOLM X BLVD",
            "address_2": "SUITE 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373003",
            "telephone_number": "212-862-8722",
            "fax_number": "212-862-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-ADAMSON",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "153418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01571659",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST PROVIDER ID",
            "identifier": "153418A58",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS ID",
            "identifier": "P3602331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.