Active NPI
Christopher Johnston, M.D.
- Family Medicine Physician
- Port Monmouth, NJ
National Provider Identifier
1790760775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA04260600
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6040306 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04260600 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Pinnacle Treatment Centers NJ-I, LLC | Current | Accepting new patients | |
| Ocean Monmouth Care, LLC | Current | Accepting new patients | |
| Pinnacle Treatment Centers NJ-II LLC | Current | Accepting new patients | |
| Pinnacle Treatment Centers NJ-III, LLC | Current | Accepting new patients | |
| Middletown Medical, LLC | Current | 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
- christopher.johnston@ima.directbygreenway.com
- 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.
-
- Methadone Clinic
- Red Bank, NJ
- NPI 1962712398
-
- Methadone Clinic
- Brick, NJ
- NPI 1275851917
-
- Methadone Clinic
- Toms River, NJ
- NPI 1184071151
-
- Methadone Clinic
- Phillipsburg, NJ
- NPI 1346419769
-
- Methadone Clinic
- Somerdale, NJ
- NPI 1255059481
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urgent Care Clinic/Center
- Shrewsbury, NJ
- NPI 1427432244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.