VINCENT GREGORY JOHNSON (NPI# 1447363312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447363312 |
| Entity Type | Individual |
| Full Name | VINCENT GREGORY JOHNSON |
| Credential | D.O. |
| Practice Address |
500 W Main St Ste 116 Babylon NY 11702-3032 |
| Mailing Address |
Po Box 10668 Albany NY 12201-5668 |
| Practice Telephone | 6314226166 |
| Practice Fax Number | 6316226266 |
| Mailing Telephone | 8669873990 |
| Mailing Fax Number | 8773089097 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
291245 | NY | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
100207 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200007670B | 05 | |
| MO | BCBS OF KANSAS CITY | 18469031 | 01 |
| MO | 243881604 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690920 | Vincent Van Johnson | Case Manager/Care Coordinator | 17325 Euclid Ave Ste 4028, Cleveland, OH 44112-1270 | 2020-05-11 |
| 1982708129 | Vincent Clifton Johnson | Dentist | 508 E M 55, Tawas City, MI 48763-9215 | 2006-09-08 |
| 1053717082 | Vincent Bernard Johnson | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-5335 | 2014-11-19 |
| 1861833097 | Vincent Johnson | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2013-07-16 |
| 1164549168 | Vincent Johnson | Physical Therapist | 1199 Pleasant Valley Way, West Orange, NJ 07052-1424 | 2007-03-23 |
| 1497749931 | Vincent L Johnson | Internal Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2005-09-09 |
| Street Address |
500 W MAIN ST STE 116 |
| City | BABYLON |
| State | NY |
| Zip Code | 11702-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669800751 | Jenna Larocca | Physician Assistant | 500 W Main St Ste 116, Babylon, NY 11702 | 2013-10-29 |
| 1093067514 | Yadira Pena | Physician Assistant | 500 W Main St Ste 116, Babylon, NY 11702 | 2012-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1972047124 | Joanne Renee Wenner I | Massage Therapist | 28 Yacght Club Rd, Babylon, NY 11702 | 2016-12-07 |
| 1841743846 | Brian Christopher Penta | Specialist | 11 East Jackson Avenue, Babylon, NY 11702 | 2016-07-27 |
| 1760836654 | Elizabeth Duggan | Registered Nurse | 1 Farmingdale Rd., West Babylon, NY 11702 | 2016-04-18 |
| 1679936595 | Brianna Michelle Renda | Nurse Practitioner | 38 James Street, Babylon, NY 11702 | 2016-03-29 |
| 1861801672 | Margaret Stroehlein | Nurse Practitioner | 28 Edward Ave, Babylon, NY 11702 | 2014-08-06 |
| 1164777397 | Kim Suzanne Sconzo | Speech-Language Pathologist | 10 Grant Ave W., Babylon, NY 11702 | 2012-07-13 |
| 1437459674 | Katz & Wood Inc | Audiologist-Hearing Aid Fitter | 20 Argyle Square, Babylon, NY 11702 | 2010-10-21 |
| 1053643668 | Andrea Wilkinson Ohle | Marriage & Family Therapist | 74 Fire Island Avenue, Suite 104, Babylon, NY 11702 | 2010-02-06 |
| 1477880771 | Robert E Gribbin | Physical Therapist | 400 W Main Street, Suite 340, Babylon, NY 11702 | 2009-11-06 |
| Find all providers in zip 11702 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912346420 | Comprehensive Pain Care of Long Island Ronit Adler, M.d. PC | Anesthesiology | 51 John St, Suite 4, Babylon, NY 11702-2928 | 2013-06-18 |
| 1073534848 | Craig Shalmi | Anesthesiology | 500 W Main St, Suite 116, Babylon, NY 11702-3027 | 2006-07-21 |
| 1376572594 | Luis M Fandos | Anesthesiology | 500 W Main St, Suite 116, Babylon, NY 11702 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1497374250 | Stanley Ikezi, Md PC | Anesthesiology | 188 18 Linden Blvd, Saint Albans, NY 11412-4028 | 2020-04-13 |
| 1417595224 | Regenerative Pain Center of Nj & Ny | Anesthesiology | 119 W 57th St Ste 717, New York, NY 10019-2302 | 2019-12-12 |
| 1790322477 | Bay Ridge Medical Care Pllc | Anesthesiology | 370 Bay Ridge Pkwy Lowr Level, Brooklyn, NY 11209-3176 | 2019-12-02 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1467010751 | Health Quest Medical Practice, PC | Anesthesiology | 665 Stoneleigh Ave Ste 205, Carmel, NY 10512-4625 | 2019-05-31 |
| 1619531910 | Aristide Burducea, D.o LLC | Anesthesiology | 21925 Peck Ave, Queens Village, NY 11427-1121 | 2019-04-23 |
| 1013470277 | Bryant Park Ambulatory Medical Care PC | Anesthesiology | 36 W 44th St Ste 914, New York, NY 10036-8104 | 2019-04-12 |
| 1043785181 | Spine and Pain Consultant, Pllc | Anesthesiology | 860 5th Ave Ste 1b, New York, NY 10065-5856 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.