Heidi Johnson, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

854048 Issued in NY

Practice address

11860 Metropolitan Ave
3C
Kew Gardens, NY 11415-2029

Phone

(917) 517-9265

NPI assigned

Jul 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237
  NPD

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1942565452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 METROPOLITAN AVE",
            "address_2": "3C",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 METROPOLITAN AVE",
            "address_2": "3C",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152029",
            "telephone_number": "917-517-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEIDI",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "854048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Ursula Ivey-Toure, MA,CASAC, LMHC
• Jamaica Health Pharmacy Corp.
• Alfonso Louis Jannotte, RPH
• Jennifer Chin OD PLLC
• Youngran Jeong, M.S.
• Yenifer Joya Rocha, MS, SLP, TSSLD -BEA
• Lily Jung, O.D.
• Just Physical Therapy PC
• K I Medical PC
• Ashni Kadakia

• Specialist in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.