Active NPI
Corey Anthony Johnson
- Behavior Technician
- Ramsey, NJ
National Provider Identifier
1982254819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 171 Lake St Ste 1
Ramsey, NJ 07446-2036 - Phone
- (201) 620-9927
- NPI assigned
- Sep 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
171 Lake St Ste 1
Ramsey, NJ 07446-2036
Mailing address
31 Chamberlain Ave
Little Ferry, NJ 07643-1851
Phone (201) 559-1460
Other practice location 1
31 Chamberlain Ave
Little Ferry, NJ 07643-1851
Phone (201) 559-1460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1982254819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 CHAMBERLAIN AVE",
"city": "LITTLE FERRY",
"state": "NJ",
"postal_code": "076431851",
"telephone_number": "201-559-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 LAKE ST STE 1",
"city": "RAMSEY",
"state": "NJ",
"postal_code": "074462036",
"telephone_number": "201-620-9927"
}
],
"practiceLocations": [
{
"address_1": "31 Chamberlain Ave",
"address_purpose": "LOCATION",
"city": "Little Ferry",
"state": "NJ",
"postal_code": "076431851",
"country_code": "US",
"telephone_number": "201-559-1460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "COREY",
"middle_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-12",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramsey, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.