Individual provider Active NPI

Janice Marie Johnson, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Aventura, FL
National Provider Identifier
1891127015
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
MD-0076764 Issued in FL
Practice address
3731 N Country Club Dr
728
Aventura, FL 33180-1733
Phone
(732) 249-7654
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X MD-044317-E PA
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X G070971 CA
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X MD-0076764 FL Primary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 27131 AZ
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 722206 NJ

Addresses

Primary practice location

3731 N Country Club Dr
728
Aventura, FL 33180-1733

Mailing address

3731 N Country Club Dr
728
Aventura, FL 33180-1733
Phone (732) 249-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-044317-EPAMDBlood Banking & Transfusion Medicine Physician
27131AZMDClinical Pathology/Laboratory Medicine Physician
G070971CAMDClinical Pathology/Laboratory Medicine Physician
MD-0076764FLMDClinical Pathology/Laboratory Medicine Physician
722206NJMDClinical Pathology/Laboratory Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1891127015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 N COUNTRY CLUB DR",
            "address_2": "728",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801733",
            "telephone_number": "732-249-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 N COUNTRY CLUB DR",
            "address_2": "728",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801733",
            "telephone_number": "732-249-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "PA",
            "license": "MD-044317-E",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "G070971",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "FL",
            "license": "MD-0076764",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "AZ",
            "license": "27131",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NJ",
            "license": "722206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.