Active NPI
Corey Johnson, MD
- Obstetrics & Gynecology Physician
- Bedford, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 39326
- Practice address
- 25 S River Rd
Bedford, NH 03110-6708 - Phone
- (603) 695-2500
- Fax
- (603) 640-1228
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD482464 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | MT217838 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 39326 | NH | Primary |
Addresses
Primary practice location
25 S River Rd
Bedford, NH 03110-6708
Mailing address
PO Box 810
Hanover, NH 03755-0810
Other practice location 1
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-1800
Other practice location 2
5501 Old York Rd Fl Lifter1
Philadelphia, PA 19141-3018
Phone (215) 456-7405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tufts University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 Old York Rd Patient Tower
Suite 3
Philadelphia, PA 19141-3092
Phone (215) 456-6850
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD482464 | PA | MD | Obstetrics & Gynecology Physician |
| MT217838 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan, Inc. | Current | Accepting new patients | |
| Albert Einstein Medical Center | Past | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients | |
| Einstein Practice Plan, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630
5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990
5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Pain Medicine (Anesthesiology) Physician
- Philadelphia, PA
- NPI 1205246576
-
- General Acute Care Hospital
- Phila, PA
- NPI 1902805245
-
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
-
- Obstetrics & Gynecology Physician
- Philadelphia, PA
- NPI 1154355220
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1861054546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 810",
"city": "HANOVER",
"state": "NH",
"postal_code": "037550810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S RIVER RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106708",
"telephone_number": "603-695-2500",
"fax_number": "603-640-1228"
}
],
"practiceLocations": [
{
"address_1": "3401 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405103",
"country_code": "US",
"telephone_number": "215-707-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Old York Rd Fl Lifter1",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191413018",
"country_code": "US",
"telephone_number": "215-456-7405",
"fax_number": "215-456-4703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "COREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD482464",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT217838",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NH",
"license": "39326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.