DR. MARCUS D JOHNSON (NPI# 1790067874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790067874 |
| Entity Type | Individual |
| Full Name | DR. MARCUS D JOHNSON |
| Credential | DDS, MSD |
| Practice Address |
1103 Stewart Ave Fl 1 Garden City NY 11530-4859 |
| Mailing Address |
30 E 40th St Rm 1004 New York NY 10016-1208 |
| Practice Telephone | 5162221822 |
| Practice Fax Number | 5162275361 |
| Mailing Telephone | 2127252573 |
| Mailing Fax Number | 2127252574 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
055305 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626538 | Marcus Donnell Johnson | Counselor | 145 E 126th St Apt 4d, New York, NY 10035-1727 | 2020-07-21 |
| 1083028021 | Marcus Johnson | Rehabilitation Practitioner | 4097 W 142nd St Apt 108, Hawthorne, CA 90250-7969 | 2014-06-18 |
| 1851510200 | Marcus Lorenzo Johnson | Chiropractor | 13021 Coit Rd Ste 200, Dallas, TX 75240-5700 | 2007-04-24 |
| 1013090661 | Marcus Wayne Johnson | Chiropractor | 1780 Green Bay Rd., Highland Park, IL 60035 | 2006-10-24 |
| 1073543229 | Marcus A. Johnson | Family Medicine | 2201 Sun River Rd, Great Falls, MT 59404 | 2006-07-04 |
| 1215467832 | Marcus Johnson | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 | 2017-06-15 |
| 1609311802 | Marcus L Johnson | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2016-12-23 |
| 1003228362 | Marcus Johnson Sr. | Counselor | 6360 S Pecos Rd Ste 4, Las Vegas, NV 89120-3295 | 2014-05-21 |
| 1649568692 | Marcus Johnson | Emergency Medicine | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2011-07-12 |
| 1396040606 | Marcus Johnson | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2011-01-18 |
| Street Address |
1103 STEWART AVE FL 1 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1053523449 | Doreen Faye Toskos | Dentist | 520 Franklin Ave Ste 112, Garden City, NY 11530-5814 | 2007-05-05 |
| 1366762700 | Matthew Alexander Tangredi | Dentist | 520 Franklin Ave, Suite 112, Garden City, NY 11530-5806 | 2010-06-08 |
| 1134390917 | Garden City Endodontics, Pllc | Dentist | 601 Franklin Ave, Suite 210, Garden City, NY 11530-5795 | 2008-03-19 |
| 1275731465 | Kathleen Mary Englehardt | Dentist | 877 Stewart Ave, Garden City, NY 11530-4803 | 2007-07-10 |
| 1316158959 | Rahul Gupta | Dentist | 1103 Stewart Ave, Garden City, NY 11530-4886 | 2007-05-25 |
| 1790995082 | Jamal Ramon Flowers | Dentist | 1103 Stewart Ave, Garden City, NY 11530-4886 | 2007-05-23 |
| 1215146782 | Ashish Sahasrabudhe | Dentist | 1103 Stewart Ave, First Floor, Garden City, NY 11530-4886 | 2007-05-22 |
| 1427264340 | Anthony Salierno | Dentist | 520 Franklin Ave, Suite 112, Garden City, NY 11530-5801 | 2007-05-15 |
| 1003989666 | Raymond F. Mehlman | Dentist | 520 Franklin Ave, Suite 221, Garden City, NY 11530-5801 | 2006-11-15 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
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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.