Individual provider Active NPI

Johnson Shiuan-Jiun Ho, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bridgewater, NJ
National Provider Identifier
1912498353
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
25MA11832000 Issued in NJ
Practice address
1200 US Highway 22 Ste 14
Bridgewater, NJ 08807-2943
Phone
(973) 376-6595
Fax
(973) 741-3900
NPI assigned
May 22, 2018
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X A302322 NY
Physical Medicine & Rehabilitation Physician 208100000X 302322 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 25MA11832000 NJ Primary

Addresses

Primary practice location

1200 US Highway 22 Ste 14
Bridgewater, NJ 08807-2943

Mailing address

1200 US Highway 22 Ste 14
Bridgewater, NJ 08807-2943
Phone (973) 376-6595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200910001128 NY Practitioner - Internal Medicine 3971921750 Reassigns benefits to 1 organization
I20230921000467 NJ Practitioner - Physical Medicine and Rehabilitation 3971921750 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
302322NYMDLicensed Practical Nurse
A302322NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC General Practice CurrentSince Jul 18, 2023 Accepting new patients
Mid Atlantic Rehabilitation Consultants, LLC Physical Medicine & Rehabilitation CurrentSince Nov 7, 2023 Accepting new patients
Brookview Medical Associates, PLLC General Practice CurrentSince Jul 1, 2020 Accepting new patients
Carol Sonatore, DO, PC Physical Medicine & Rehabilitation CurrentSince Nov 7, 2023 Accepting new patients
New Jersey Spine and Orthopedics, LLC PastSince Sep 8, 2024 Accepting new patients

Locations

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

2 Centre Plz
#F
Tinton Falls, NJ 07724
Phone (732) 460-5360

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1912498353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 US HIGHWAY 22 STE 14",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072943",
            "telephone_number": "973-376-6595",
            "fax_number": "973-741-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 US HIGHWAY 22 STE 14",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072943",
            "telephone_number": "973-376-6595",
            "fax_number": "973-741-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "JOHNSON",
        "middle_name": "SHIUAN-JIUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "A302322",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "302322",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA11832000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.