NPIMap

Individual provider Active NPI

Maggie Sullivan Johnson, M.D.

  • Family Medicine Physician
  • Rowley, MA
National Provider Identifier
1598119802
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
278377 Issued in MA
Practice address
414 Haverhill St
Rowley, MA 01969-1919
Phone
(877) 379-5522
NPI assigned
Apr 22, 2016
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 278377 MA Primary

Addresses

Primary practice location

414 Haverhill St
Rowley, MA 01969-1919

Mailing address

20 Dorothy E Lucey Dr
Newburyport, MA 01950-1781
Phone (413) 204-1656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703001989 MA Practitioner - Family Practice 0345575833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

414 Haverhill St
Rowley, MA 01969-1919
Phone (877) 379-5522

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278377MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients
Cooley Dickinson Hospital Inc Multi-Specialty Current Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Multi-Specialty CurrentSince Jan 1, 2022 Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients

Locations

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

414 Haverhill St
Rowley, MA 01969
Phone (877) 379-5522

Interoperability endpoints

  • Direct secure messaging: johnson.maggie.cdh@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1598119802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DOROTHY E LUCEY DR",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019501781",
            "telephone_number": "413-204-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HAVERHILL ST",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691919",
            "telephone_number": "877-379-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAGGIE",
        "middle_name": "SULLIVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "278377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowley, MA

Sources for this page

Verify at the official NPI Registry.