Judy Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036316 Issued in NY

Practice address

192 Park Ave
West Harrison, NY 10604-2146

Phone

(914) 686-2225

NPI assigned

May 1, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912128398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PARK AVE",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042146",
            "telephone_number": "914-686-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK AVE",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106042146",
            "telephone_number": "914-686-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00715059",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Nutrition and Dietetics PLLC
• Jennifer a. Sylvia, DMD, P.C.
• Jennie John, RPH
• Tenesha Johnson-Bradshaw, FNP
• Jessica Johnson, MD
• Sari Josephberg
• Diana M Juarez, RN
• Yu Kato, D.D.S.
• Linda Katz, LCSW
• Lucila Patricia Kaufman, LMHC

• General Practice Dentistry in West Harrison, NY
• Providers in West Harrison, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.