Caren Dina Johnson

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

006768-1 Issued in NY

Practice address

14 Wickham Ave
Goshen, NY 10924-1819

Phone

(845) 820-2816

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1992273585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WICKHAM AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241819",
            "telephone_number": "845-820-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WICKHAM AVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241819",
            "telephone_number": "845-820-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAREN",
        "middle_name": "DINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "006768-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Joanow, D.O.
• Tina M Jodin, CASAC T
• John J Lucas M D P C
• John S. Juliano, MD, PLLC
• Johnik Pharmacy Inc
• Robert Alan Johnson, MD
• Shirley Johnson, LCSWR
• Corina Anne Jones
• Rachel Jordan, M.S.
• Brooke Junior

• Physical Medicine & Rehabilitation Physician in Goshen, NY
• Providers in Goshen, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.