Individual provider Active NPI

Megan Theresa Johnson, APN

  • Family Nurse Practitioner
  • Boonton TWP, NJ
National Provider Identifier
1619749611
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14939400 Issued in NJ
Practice address
33 Hillcrest Rd
Boonton TWP, NJ 07005-9441
Phone
(508) 269-9671
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14939400 NJ Primary

Addresses

Primary practice location

33 Hillcrest Rd
Boonton TWP, NJ 07005-9441

Mailing address

33 Hillcrest Rd
Boonton TWP, NJ 07005-9441
Phone (508) 269-9671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231130003728 NJ Practitioner - Nurse Practitioner 0547618506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14939400NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montville Family Practice Associates, PA CurrentSince Jan 1, 2024 Accepting new patients

Locations

137 Main Rd
Ste 200
Montville, NJ 07045
Phone (973) 402-0025

Interoperability endpoints

  • Direct secure messaging: megan.johnson.1@31573.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1619749611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HILLCREST RD",
            "city": "BOONTON TWP",
            "state": "NJ",
            "postal_code": "070059441",
            "telephone_number": "508-269-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HILLCREST RD",
            "city": "BOONTON TWP",
            "state": "NJ",
            "postal_code": "070059441",
            "telephone_number": "508-269-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGAN",
        "middle_name": "THERESA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14939400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton TWP, NJ

Sources for this page

Verify at the official NPI Registry.