DR. JONATHAN MICHAEL JOHNSON (NPI# 1780881011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780881011 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MICHAEL JOHNSON |
| Credential | MD |
| Practice Address |
1790 Madison Ave Fl1 New York NY 10035-4595 |
| Mailing Address |
1360 Regent St # 198 Madison WI 53715-1255 |
| Practice Telephone | 3477561552 |
| Mailing Telephone | 3477561552 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD0000046883 | TN | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A110262 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA08633200 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
52524-020 | WI | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD436076 | PA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
248684 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1622 Fordem Ave #407, Madison, WI 537044595 | 3477561552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003474933 | Jonathan Roy Johnson | Student in an Organized Health Care Education/Training Program | 804 Levee St, Hoquiam, WA 98550-2527 | 2019-06-05 |
| 1225301757 | Jonathan Johnson | Counselor | 24 Airport Rd, West Lebanon, NH 03784-1663 | 2012-02-14 |
| 1992953749 | Jonathan Ashely Collis Johnson | Surgery | 2112 F St Nw Ste 804, Washington, DC 20037-2760 | 2008-09-05 |
| 1700061728 | Jonathan Earl Johnson | Rehabilitation Practitioner | 2990 Inland Empire Blvd Ste 101, Ontario, CA 91764-4899 | 2008-01-09 |
| 1598802316 | Jonathan Edward Johnson | General Practice | 7435 University Ave Ste 104, La Mesa, CA 91941-6027 | 2007-01-31 |
| 1679537807 | Jonathan Johnson | Counselor | 42009 Victory Ln, Leesburg, VA 20176-6269 | 2006-04-14 |
| 1144207838 | Jonathan Cleophas Johnson | Dentist | 801 E Baker St, Plant City, FL 33563 | 2005-12-23 |
| 1467086868 | Jonathan Johnson | Technician/Technologist | 6757 Arapaho Rd Ste 707, Dallas, TX 75248-4073 | 2020-02-25 |
| 1528520392 | Jonathan Edward Johnson | Physician Assistant | 1407 M D Ln Ste A, Tallahassee, FL 32308-5349 | 2019-04-02 |
| 1982102083 | Jonathan Franklin Johnson Jr. | Registered Nurse | 428 Columbus Avenue, Pediatrics, New Haven, CT 06519-1233 | 2018-01-24 |
| Street Address |
1790 MADISON AVE FL1 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1902344260 | First Columbus Medical PC | Psychiatry & Neurology | 160 W 66th St Apt 22j, New York, NY 10023-6558 | 2017-02-07 |
| 1184073942 | Rachel Joy Schindler | Psychiatry & Neurology | 325 E 79th St Apt 9e, New York, NY 10075-0983 | 2016-06-11 |
| 1487003505 | Jina Park | Psychiatry & Neurology | 462 1st Ave Fl 7, New York, NY 10016-9196 | 2016-06-09 |
| 1043697709 | Benjamin John Dorfman | Psychiatry & Neurology | 5 E 98th St # 1637, New York, NY 10029-6501 | 2015-05-01 |
| 1275928392 | Kathryn Trinh Rimmer | Psychiatry & Neurology | 710 W 168th St Ste 2-212, New York, NY 10032-3726 | 2015-04-06 |
| 1013302819 | Ling Pan | Psychiatry & Neurology | 530 1st Ave Ste 8s, New York, NY 10016-6402 | 2015-03-30 |
| 1710372636 | Alexander Allen | Psychiatry & Neurology | 555 Madison Avenue, Third Floor, New York, NY 10022-6402 | 2015-03-30 |
| Find all providers in NEW YORK | ||||
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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.