Organization Active NPI

Johnson & Johnson P.T. L.L.C

  • Preferred Provider Organization
  • Oak Park, MI
National Provider Identifier
1932632627
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
JOHNSON & JOHNSON P.T. L.L.C
Practice address
21700 Greenfield Rd
Suite 215
Oak Park, MI 48237-2581
Phone
(248) 268-4248
Fax
(248) 268-4857
NPI assigned
Apr 10, 2017
Last updated
Apr 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Lorine Brown
Title
Owner
Phone
(248) 268-4248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X MI Primary

Addresses

Primary practice location

21700 Greenfield Rd
Suite 215
Oak Park, MI 48237-2581

Mailing address

21700 Greenfield Rd
Suite 215
Oak Park, MI 48237-2581
Phone (248) 268-4248

National Provider Directory

National Provider Directory
Tax ID family
Johnson Dialysis Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1932632627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD",
            "address_2": "SUITE 215",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372581",
            "telephone_number": "248-268-4248",
            "fax_number": "248-268-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD",
            "address_2": "SUITE 215",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372581",
            "telephone_number": "248-268-4248",
            "fax_number": "248-268-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & JOHNSON P.T. L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LORINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-268-4248"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.