Lakeia D Johnson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

25MP00158500 Issued in NJ

Practice address

111 Central Ave
Newark, NJ 07102-1909

Phone

(973) 877-5000

NPI assigned

Oct 22, 2007

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Everyday Urgent Care LLCGroup PAC ID 2668883281, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Everyday Urgent Care LLC

  • Urgent Care Clinic/Center
  • Maywood, NJ
  • NPI 1578170254
  Medicare reassignment Care Compare group
• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  Medicare reassignment
• Eoh Acquisition Group, LLC

  dba East Orange General Hospital

  • General Practice Physician
  • East Orange, NJ
  • NPI 1578922258
  Medicare reassignment
• Eoh Acquisition Group, LLC

  dba East Orange General Hospital

  • Primary Care Clinic/Center
  • East Orange, NJ
  • NPI 1578932604
  Medicare reassignment
• Eoh Acquisition Group, LLC

  dba CareWell Health Medical Center

  • General Acute Care Hospital
  • East Orange, NJ
  • NPI 1013386143
  NPD
• Eoh Acquisition Group, LLC

  dba East Orange General Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • East Orange, NJ
  • NPI 1043785058
  NPD
• Pathology Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • East Orange, NJ
  • NPI 1366460271
  NPD
• Crescent Medical Group PC

  • Urgent Care Clinic/Center
  • Roselle Park, NJ
  • NPI 1669027140
  NPD (past)
• Saint Michaels Physician Services PC

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1063791820
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1912196353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 HOLLYWOOD AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052716",
            "telephone_number": "908-400-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAKEIA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00158500",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00158500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Johnson
• Ashanti Johnson
• Colin Michael Johnson Jr., MD
• Deborah Jean Johnson, M.D.
• Kawana Johnson
• Meredith Lee Johnson, NP
• Monica Yvette Johnson
• Naasiya R Johnson, DNP, FNP
• Robert Johnson, M.D.
• Sharon Johnson, MD

• Surgical Physician Assistant in Newark, NJ
• Providers in Newark, NJ by specialty
• Surgical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.
• 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.

Verify at the official NPI Registry.