DR. SHARON JOHNSON (NPI# 1750412573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750412573 |
| Entity Type | Individual |
| Full Name | DR. SHARON JOHNSON |
| Credential | MD |
| Practice Address |
741 Broadway Newark NJ 07104-4309 |
| Mailing Address |
556 Ridge St Newark NJ 07104-1514 |
| Practice Telephone | 9734831300 |
| Practice Fax Number | 9734833147 |
| Mailing Telephone | 9734828384 |
| Mailing Fax Number | 9734828433 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MA037786 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICAL LICENSE # | MA037786 | 01 |
| NJ | DEA # | BJ4625008 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184174 | Sharon Lee Johnson | Counselor | 2500 Packard St Ste 104, Ann Arbor, MI 48104-6827 | 2020-01-31 |
| 1588129704 | Sharon Denise Johnson | Clinic/Center | 453 E Oakwood St, Tarpon Springs, FL 34689-4447 | 2019-02-01 |
| 1497257141 | Sharon Johnson | Nurse's Aide | 2880 Kiowa Blvd N, Lake Havasu City, AZ 86404-2624 | 2018-03-07 |
| 1194176495 | Sharon Johnson | Technician, Other | 24051 Morton St, Oak Park, MI 48237-2186 | 2016-06-28 |
| 1144687732 | Sharon Johnson | Skilled Nursing Facility | 42322 Circulo Cavinara, Murrieta, CA 92562-6150 | 2016-01-27 |
| 1982071312 | Sharon Johnson | Speech-Language Pathologist | 802 N 11th St, Norfolk, NE 68701-2721 | 2015-09-02 |
| 1326436502 | Sharon Johnson | Case Manager/Care Coordinator | 12706 Parker Ln, Chester, VA 23831-5130 | 2014-12-22 |
| 1437563913 | Sharon Johnson | Behavioral Analyst | 8216 Wildwood Glen Dr, Las Vegas, NV 89131-8180 | 2014-06-12 |
| 1881937555 | Sharon Palmer Johnson | Occupational Therapist | 323 Woodstream Blvd, Stafford, VA 22556-4641 | 2013-04-01 |
| 1265710461 | Sharon Beulah Johnson | Licensed Practical Nurse | 1307 W 184th St, Gardena, CA 90248-4017 | 2011-07-22 |
| Street Address |
741 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580647 | Alan Y Tso | Internal Medicine | 741 Broadway, Newark, NJ 07104-4309 | 2005-10-05 |
| 1538772165 | Monica Yvette Johnson | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2020-08-24 |
| 1518576206 | Akuwa D Gbogbotsi | Registered Nurse | 741 Broadway, Newark, NJ 07104-4309 | 2020-07-28 |
| 1487123386 | Srujana Kraleti | Dentist | 741 Broadway, Newark, NJ 07104-4309 | 2018-11-20 |
| 1942726369 | Beyyinah Hasan | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2017-08-17 |
| 1902346810 | Hearns Paul | Social Worker | 741 Broadway, Newark, NJ 07104-4309 | 2017-02-27 |
| 1952843849 | Alexandra Noel | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-11-09 |
| 1619427093 | Nadia Gabaud | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-10-10 |
| 1043669245 | Jorane Bonheur | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-06-08 |
| 1700262474 | Raksha Poojary | Dentist | 741 Broadway, Newark, NJ 07104-4309 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073093373 | Pinnacle Autism Services, LLC | Clinic/Center | 908 Janice Dr, Newark, DE 19713-4040 | 2018-08-16 |
| 1154849297 | Greater Essex Counseling Services LLC | Clinic/Center | 23 Branford Pl Fl 2, Newark, NJ 07102-2711 | 2017-09-08 |
| 1174920102 | Licking County Community Health Care | Clinic/Center | 144b W Main St, Newark, OH 43055-5008 | 2014-11-19 |
| 1740619881 | Independent Insurance Consulting | Clinic/Center | 27 Golf View Dr, D-4, Newark, DE 19702-1770 | 2013-11-08 |
| 1043588569 | Ferry Pain & Rehab Center | Clinic/Center | 128 Ferry St, Newark, NJ 07105-2115 | 2011-12-12 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1710177068 | Gaviota Corporation | Clinic/Center | 919 Franklin Ave, Newark, NJ 07107-4801 | 2007-08-01 |
| 1407836315 | Spine Care Delaware, LLC | Clinic/Center | 4102 Ogletown - Stanton Rd, Newark, DE 19713 | 2006-01-18 |
| 1457841421 | Complete Sleep Lab Inc | Clinic/Center | 314 E Main St, Newark, DE 19711-7128 | 2018-05-15 |
| 1699135178 | Brick City Chiropractic LLC | Clinic/Center | 509 Orange St, Floor 2, Newark, NJ 07107-2128 | 2016-02-26 |
| Find all providers in NEWARK | ||||
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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.