Active NPI
Maurice C Johnson, MD PC
- Ophthalmology Physician
- Brooklyn, NY
National Provider Identifier
1598033987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 192925
- Legal business name
- MAURICE C JOHNSON, MD PC
- Practice address
- 618 Schenectady Ave
Brooklyn, NY 11203-1821 - Phone
- (718) 774-3950
- Fax
- (718) 493-3798
- NPI assigned
- Dec 13, 2011
- 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. Maurice Johnson, MD
- Title
- President
- Phone
- (718) 774-3950
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 192925 | NY | Primary |
Addresses
Primary practice location
618 Schenectady Ave
Brooklyn, NY 11203-1821
Mailing address
618 Schenectady Ave
Brooklyn, NY 11203-1821
Phone (718) 774-3950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01430217 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
618 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 774-3950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1407973662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323734400000",
"number": "1598033987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 SCHENECTADY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031821",
"telephone_number": "718-774-3950",
"fax_number": "718-493-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 SCHENECTADY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031821",
"telephone_number": "718-774-3950",
"fax_number": "718-493-3798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAURICE C JOHNSON, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MAURICE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-774-3950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "NY",
"license": "192925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01430217",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.