Amy Ann John, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA09320200 Issued in NJ

Practice address

65 US Highway 1
Metuchen, NJ 08840-2931

Phone

(732) 371-4400

NPI assigned

Jun 23, 2010

Sex

Female

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amy.john@4276.securemail.prognocis.com

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.

• Lakeview Medical Center, PC

  • Pediatrics Physician
  • Clifton, NJ
  • NPI 1336418631
  NPD (past)
• Rutgers Health-RWJ Pediatric Critical Care

  • Pediatrics Physician
  • New Brunswick, NJ
  • NPI 1518901768
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1982915039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SEAVIEW AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 US HIGHWAY 1",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402931",
            "telephone_number": "732-371-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Avenue",
            "address_purpose": "LOCATION",
            "city": "staten island",
            "state": "NY",
            "postal_code": "10305",
            "country_code": "US",
            "telephone_number": "718-226-9360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "266 Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070114026",
            "country_code": "US",
            "telephone_number": "973-340-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "AMY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09320200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Rong, DDS, Ms, PC
• Li Jing
• Neel Jingar, MD
• JNJ Medical Devices & Services LLC
• Kimberly Johdos, MSW, LSW
• Thomas William Johnson, ED.D.
• Kimberly Ellen Jones, MS, RDN, CNSC
• Joymed LLC
• Just Be Me Therapy LLC
• Edward Kalinowski, D.C.

• Pediatrics Physician in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.