Individual provider Active NPI

Emily Lynn Johnson, NP

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1750932034
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383016 Issued in NY
Practice address
150 E 32ND St FL 2
New York, NY 10016-6058
Phone
(212) 263-5940
NPI assigned
Sep 26, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383016 NY Primary

Addresses

Primary practice location

150 E 32ND St FL 2
New York, NY 10016-6058

Mailing address

470 2ND Ave Apt 10B
New York, NY 10016-9185
Phone (484) 716-1451

Other practice location 1

424 E 34th St
New York, NY 10016-4901
Phone (212) 263-7300

Other practice location 2

120 Mineola Blvd
Mineola, NY 11501-4064
Phone (516) 663-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191211001187 NY Practitioner - Nurse Practitioner 5193158889 Reassigns benefits to 2 organizations
I20220701002005 PA Practitioner - Nurse Practitioner 5193158889 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
383016NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Nov 1, 2019 Accepting new patients
New York University CurrentSince Nov 1, 2019 Accepting new patients
Childrens Health Care Associates, Inc Current Accepting new patients
Childrens Health Care Associates, Inc CurrentSince May 10, 2022 Accepting new patients
Childen's Health Care Associates Inc. CurrentSince May 10, 2022 Accepting new patients

Locations

120 Mineola Blvd
Mineola, NY 11501
Phone (516) 663-4510

150 E 32nd St
Fl 2
New York, NY 10016
Phone (212) 263-5940

160 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 263-5940

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040

3401 Civic Center Blvd
#M975
Philadelphia, PA 19104

Organizations & group practices 5

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1750932034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 2ND AVE APT 10B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169185",
            "telephone_number": "484-716-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 32ND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166058",
            "telephone_number": "212-263-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 E 34th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100164901",
            "country_code": "US",
            "telephone_number": "212-263-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Mineola Blvd",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115014064",
            "country_code": "US",
            "telephone_number": "516-663-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMILY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.