Active NPI
Cynthia E. Johnson, MD
- Obstetrics & Gynecology Physician
- Chestnut Hill, MA
National Provider Identifier
1912078767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 58139
- Practice address
- 291 Independence Dr FL 9
Chestnut Hill, MA 02467-3628 - Phone
- (617) 541-6450
- Fax
- (617) 541-6645
- NPI assigned
- Nov 13, 2006
- Last updated
- Jan 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 58139 | MA | Primary |
Addresses
Primary practice location
291 Independence Dr FL 9
Chestnut Hill, MA 02467-3628
Mailing address
291 Independence Dr FL 9
Chestnut Hill, MA 02467-3628
Phone (617) 541-6450
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014790 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 3188558 | Medicaid | MA | |
| 7356354-002 | Other | MA | CIGNA |
| 058139 | Other | MA | TUFTS HEALTH PLAN |
| G268 | Other | MA | HARVARD PILGRIM |
| J08520 | Other | MA | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjohnsonmd1845@direct.atrius.masshiway.net |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58139 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- cjohnsonmd1845@direct.atrius.masshiway.net
Organizations & group practices 1
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.
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1912078767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 INDEPENDENCE DR FL 9",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673628",
"telephone_number": "617-541-6450",
"fax_number": "617-541-6645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 INDEPENDENCE DR FL 9",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024673628",
"telephone_number": "617-541-6450",
"fax_number": "617-541-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CYNTHIA",
"middle_name": "E.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "58139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0014790",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3188558",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7356354-002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "058139",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "G268",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J08520",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cjohnsonmd1845@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "291 Independence Dr Fl 9",
"city": "Chestnut Hill",
"state": "MA",
"country_code": "US",
"postal_code": "024673628",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.