DR. GOLDA ODETTE JOHNSON M.D. NPI 1780668236

NPI Information

NPI: 1780668236
Provider Name: DR. GOLDA ODETTE JOHNSON, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
910 PARK PL
BROOKLYN, NY
ZIP 11216
Phone: (718) 773-0975
Get Directions

DR. Golda Odette Johnson, M.D. is a geriatric medicine internal medicine in Brooklyn, NY with 47 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Golda Odette Johnson, M.D. NPI is 1780668236. 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:

910 PARK PL
BROOKLYN, NY
ZIP 11216-000
Phone: (718) 773-0975
Fax: (718) 773-8844

The NPI 1780668236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 6/26/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	174977	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	24E271	MEDICARE PIN	NEW YORK
2	A400094386	MEDICARE PIN	NEW YORK
3	A61487	MEDICARE UPIN	NEW YORK
4	010022401	OTHER	NEW YORK	MEDICARE RAILROAD
5	01076984	MEDICAID	NEW YORK

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

NPI Synchronization or Removal

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