Connie Johnson

Primary specialty

Ostomy Care Registered NurseTaxonomy code 163WX1500X

License

26NR13110100 Issued in NJ

Practice address

862 Riverside Dr
Hillsborough, NJ 08844-3324

Phone

(609) 216-3174

NPI assigned

Mar 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1588056261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 RIVERSIDE DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088443324",
            "telephone_number": "609-216-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 RIVERSIDE DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088443324",
            "telephone_number": "609-216-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "NJ",
            "license": "26NR13110100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jebamoni Ambrose M.D.P.a.
• Adrienne Jensen, DPT
• Li Jiang
• Vladimir Jimenez Pupo, APN
• John E Hilke OD LLC
• Laura Ann Johnson, LCSW
• Mary Jordan-Savage, D.M.D.
• Jose Alberto Cruz Chevez
• Divya Jose
• Joanne Jiyoung Jung

• Ostomy Care Registered Nurse in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Ostomy Care Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.