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DEBORAH JEAN JOHNSON M.D. NPI 1194880021


NPI Information

NPI: 1194880021
Provider Name: DEBORAH JEAN JOHNSON, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
30 BERGEN ST
ADMC 12 1205
NEWARK, NJ
ZIP 07107
Phone: (973) 972-0037
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Deborah Jean Johnson, M.D. is a pediatrics in Newark, NJ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Deborah Jean Johnson, M.D. NPI is 1194880021. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 BERGEN ST
ADMC 12 1205
NEWARK, NJ
ZIP 07107-000
Phone: (973) 972-0037
Fax: (973) 972-9355

The enumeration date for this NPI number is 12/22/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics25MA04601000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15093708MEDICAIDNEW JERSEY
2A64285MEDICARE UPINNEW JERSEY
3951599MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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