DR. GOLDA ODETTE JOHNSON


Address: 910 Park Pl, Brooklyn, NY 11216-4000
Phone: 7187730975

DR. GOLDA ODETTE JOHNSON (NPI# 1780668236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780668236
Entity Type Individual
Full Name DR. GOLDA ODETTE JOHNSON
Credential M.D.
Practice Address 910 Park Pl
Brooklyn
NY 11216-4000
Practice Telephone 7187730975
Practice Fax Number 7187738844
Mailing Telephone 7187730975
Mailing Fax Number 7187738844
Enumeration Date 2005-11-30
Last Update Date 2014-06-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
174977 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY MEDICARE RAILROAD 010022401 01
NY 01076984 05

Office Location

Street Address 910 PARK PL
City BROOKLYN
State NY
Zip Code 11216-4000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033524202 Dr. Golda O Johnson Md, PC Internal Medicine 910 Park Pl, Suite 1b, Brooklyn, NY 11216-4000 2014-06-26
1528401650 Dr. Golda Johnson, M.d. P.C. Internal Medicine 910 Park Pl, Brooklyn, NY 11216-4000 2013-04-08
1073826251 Karishma Nadia Sukhdeo Physician Assistant 910 Park Pl, Suite 1b, Brooklyn, NY 11216-4000 2010-07-16
1598945388 Elk Medical Pllc Internal Medicine 910 Park Pl, Suite 1-b, Brooklyn, NY 11216-4000 2007-11-08
1093867764 Clayton Patrick Johnson Dentist 910 Park Pl, 1b, Brooklyn, NY 11216-4000 2007-01-16
1740213016 Physician Associates of Park Place Internal Medicine 910 Park Pl, Brooklyn, NY 11216-4000 2006-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1598250086 Hope Lakeisha Garvin Social Worker 763-765 Nostrand Ave, Brooklyn, NY 11216 2018-06-27
1982192233 Katharine Ha Social Worker 278 Quincy St. #4, Brooklyn, NY 11216 2018-04-23
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1619497104 Aras Occupational Therapy Pllc Occupational Therapist 29 Macdonough St, 4g, Brooklyn, NY 11216 2017-06-26
1033648621 Yaneth Lombana Social Worker 1399 Pacific St. 2nd Floor, Brooklyn, NY 11216 2017-06-07
1922495944 James Leroy Barry Robinson Jr. Social Worker 3 Macdonough St Apt 4l, Brooklyn, NY 11216 2015-04-16
1033539572 Omnisleep LLC Residential Treatment Facility, Physical Disabilities 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 2014-04-23
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487027496 Shujing Lin Internal Medicine 6309 New Utrecht Ave, Brooklyn, NY 11219-5425 2015-11-12
1871922575 Sherif El-salawy Medical. P.c Internal Medicine 1491 Broadway, 3rd Floor, Brooklyn, NY 11221-4237 2013-11-04
1740527985 Kingsway Medical, PC Internal Medicine 2907 Kings Hwy, Brooklyn, NY 11229-1805 2013-01-08
1578708210 Shavon Dillon Internal Medicine 450 Clarkson Ave, Msc 68, Suny Downstate Medical Center, Brooklyn, NY 11203 2008-12-10
1073778916 Eaw Medical Care Pllc Internal Medicine 612 Schenectady Ave, Brooklyn, NY 11203-1821 2008-07-21
1982889648 Parkville Medical PC Internal Medicine 445 Park Avenue, Brooklyn, NY 11205-2735 2007-12-31
1972799161 Bella Zimilevich Internal Medicine 6301 Mill Ln, Brooklyn, NY 11234-5512 2007-09-20
1861687592 P.dhillon Md PC Internal Medicine 34 Plaza Street East, Suite 102, Brooklyn, NY 11238 2007-09-06
1831301332 Charles Chanan Kanner Internal Medicine 3015- West 29th Street, Brooklyn, NY 11224 2007-05-04
1346468139 Traditional and Alternative Medicine PC Internal Medicine 2 W End Ave, Brooklyn, NY 11235-4848 2007-04-24
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Competitor

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City BROOKLYN
Zip Code 11216

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Dataset Information

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.

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