Individual provider Active NPI

Christopher Johnston, M.D.

  • Family Medicine Physician
  • Port Monmouth, NJ
National Provider Identifier
1790760775
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA04260600 Issued in NJ
Practice address
363 Hwy 36
Port Monmouth, NJ 07758-1359
Phone
(732) 460-9840
Fax
(732) 460-9848
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA04260600 NJ Primary

Addresses

Primary practice location

363 Hwy 36
Port Monmouth, NJ 07758-1359

Mailing address

PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840

Other identifiers 1

IdentifierTypeStateIssuer
6040306MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100208000009 NJ Practitioner - Family Practice 5496656647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04260600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 17, 2010 Accepting new patients
Pinnacle Treatment Centers NJ-I, LLC CurrentSince Apr 7, 2021 Accepting new patients
Ocean Monmouth Care, LLC CurrentSince Jun 6, 2017 Accepting new patients
Pinnacle Treatment Centers NJ-II LLC CurrentSince May 19, 2021 Accepting new patients
Pinnacle Treatment Centers NJ-III, LLC CurrentSince Dec 1, 2011 Accepting new patients
Middletown Medical, LLC CurrentSince Jun 1, 2017 Accepting new patients
Ima Urgent Care Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

6981 N Park Dr
Ste 200
Pennsauken, NJ 08109
Phone (856) 663-4949

600 State Route 35
Red Bank, NJ 07701
Phone (732) 706-1300

Interoperability endpoints

  • Direct secure messaging: christopher.johnston@ima.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1790760775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8519",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077018519",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 HWY 36",
            "city": "PORT MONMOUTH",
            "state": "NJ",
            "postal_code": "077581359",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA04260600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6040306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Monmouth, NJ

Sources for this page

Verify at the official NPI Registry.