Active NPI
Janice Marie Johnson, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Aventura, FL
National Provider Identifier
1891127015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- MD-0076764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD-044317-E | PA | MD | Blood Banking & Transfusion Medicine Physician |
| 27131 | AZ | MD | Clinical Pathology/Laboratory Medicine Physician |
| G070971 | CA | MD | Clinical Pathology/Laboratory Medicine Physician |
| MD-0076764 | FL | MD | Clinical Pathology/Laboratory Medicine Physician |
| 722206 | NJ | MD | Clinical 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.