Deborah Anne Johnson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07568400 Issued in NJ

Practice address

11 Bishop PL
Hurtado Student Health Center
New Brunswick, NJ 08901-1178

Phone

(732) 932-7402

NPI assigned

Oct 13, 2006

Last updated

Sep 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Rutgers New Jersey Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn Medicine Home Health Princeton Health Home health agency, Princeton, NJ, CCN 317045
• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435
  Medicare reassignment Care Compare group NPD
• Clinical Health Care Associates of New Jersey PC

  • Primary Podiatric Medicine Podiatrist
  • Mount Laurel, NJ
  • NPI 1780296731
  NPD
• State of New Jersey Omb Centralized Payroll

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • New Lisbon, NJ
  • NPI 1255375929
  NPD (past)

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

• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton Medical Center

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255
  Care Compare affiliation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine HomeHealth Princeton Health

  • Home Health Agency
  • Princeton, NJ
  • NPI 1760524052
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1851481477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BISHOP PL",
            "address_2": "HURTADO STUDENT HEALTH CENTER",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011178",
            "telephone_number": "732-932-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BISHOP PL",
            "address_2": "HURTADO STUDENT HEALTH CENTER",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011178",
            "telephone_number": "732-932-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07568400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005975",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Youngsoo Jo
• Aesha M Jobanputra, M.D.
• Princy John, PHARMD
• Johnson & Johnson Medical Department
• Cassidy Johnson
• John David Johnson III, DO
• Madeline Genevieve Johnson
• Stephen A Johnson, M.D.
• Sydney Lee Johnson, CRNP
• Mini Jomartin, APN

• Family Medicine Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.