Active NPI
Sharon Johnson, MD
- Clinic/Center
- Newark, NJ
National Provider Identifier
1750412573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MA037786
- Practice address
- 741 Broadway
Newark, NJ 07104-4309 - Phone
- (973) 483-1300
- Fax
- (973) 483-3147
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MA037786 | NJ | Primary |
Addresses
Primary practice location
741 Broadway
Newark, NJ 07104-4309
Mailing address
556 Ridge St
Newark, NJ 07104-1514
Phone (973) 482-8384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA037786 | Other | NJ | MEDICAL LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA037786 | NJ | MD | Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1750412573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 RIDGE ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071041514",
"telephone_number": "973-482-8384",
"fax_number": "973-482-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 BROADWAY",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071044309",
"telephone_number": "973-483-1300",
"fax_number": "973-483-3147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHARON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NJ",
"license": "MA037786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "MA037786",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.