Active NPI
Emily Anne Johnston, R.D.
- Registered Dietitian
- Clifton, NJ
National Provider Identifier
1740511872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 10106543
- Practice address
- 1401 Broad St
Clifton, NJ 07013-4236 - Phone
- (973) 759-9000
- Fax
- (973) 759-2487
- NPI assigned
- Jan 29, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 10106543 | NJ | Primary |
Addresses
Primary practice location
1401 Broad St
Clifton, NJ 07013-4236
Mailing address
193 Palisade Ave
Jersey City, NJ 07306-1112
Phone (201) 656-1042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10106543 | NJ | MD | Registered Dietitian |
| 008578 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCG Medical Group LLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba NYU Faculty Group Practice
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- Boynton Beach, FL
- NPI 1285826438
NY
-
- Specialist
- Springfield, NJ
- NPI 1245954254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1740511872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 PALISADE AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061112",
"telephone_number": "201-656-1042",
"fax_number": "201-656-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 BROAD ST",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070134236",
"telephone_number": "973-759-9000",
"fax_number": "973-759-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "EMILY",
"middle_name": "ANNE",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "10106543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.