Golda Odette Johnson, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

174977 Issued in NY

Practice address

910 Park PL
Brooklyn, NY 11216-4000

Phone

(718) 773-0975

Fax

(718) 773-8844

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun River Health Inc.Group PAC ID 6608783568, 246 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: goj9001@direct.nyp.org
• Direct secure messaging: golda.johnson@hrh.eclinicaldirectplus.com

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.

• Sun River Health Inc

  • Federally Qualified Health Center (FQHC)
  • Amenia, NY
  • NPI 1568526838
  Medicare reassignment Care Compare group NPD
• Dr. Golda O Johnson MD, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1033524202
  NPD (past) Authorized official
• Sun River Health Inc.

  • Federally Qualified Health Center (FQHC)
  • Peekskill, NY
  • NPI 1619969458
  NPD

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

• HCS Certified Home Care Ny Inc

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1568886653
  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1780668236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164000",
            "telephone_number": "718-773-0975",
            "fax_number": "718-773-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112164000",
            "telephone_number": "718-773-0975",
            "fax_number": "718-773-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GOLDA",
        "middle_name": "ODETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "174977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "010022401",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01076984",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Johnson, RPN
• Fiona Johnson, LPN
• Folasade Adeyemi Johnson, PHARMACIST
• Francis Johnson
• Gloria Elizabeth Johnson
• Ian M Johnson, LCSW
• Iris Louise Johnson
• Jabarri Johnson, PT,DPT
• Jada-Isidora Johnson
• Jade Alexandria Johnson, ED.M.

• Geriatric Medicine (Internal Medicine) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.