MR. JESSE THOMAS JOHNSON II (NPI# 1003042664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003042664 |
| Entity Type | Individual |
| Full Name | MR. JESSE THOMAS JOHNSON II |
| Credential | PA |
| Practice Address |
3201 Kings Hwy Brooklyn NY 11234-2625 |
| Practice Telephone | 7189512901 |
| Mailing Telephone | 7189512901 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2016-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
013190 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549284 | Jesse Taylor Johnson | Counselor | 1900 Silver Lake Rd, New Brighton, MN 55112-1786 | 2018-08-22 |
| 1851618433 | Jesse Johnson | Counselor | 700 Pinhook Dr, Savannah, TN 38372-2783 | 2010-04-22 |
| 1942830492 | Jesse Howard Johnson IIi | Case Manager/Care Coordinator | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2020-01-23 |
| 1235794322 | Jesse Alexander Johnson Jr. | Internal Medicine | 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 | 2019-05-05 |
| 1538623087 | Jesse Johnson | Counselor | 301 Nw F St, Grants Pass, OR 97526-2051 | 2019-01-29 |
| 1932624178 | Jesse Johnson | Dentist | 9201 Eagle Ranch Rd Nw, Albuquerque, NM 87114-6032 | 2017-08-09 |
| 1043657687 | Jesse Johnson | Counselor | 443 Ne Knott St, Portland, OR 97212-3108 | 2013-05-22 |
| 1528360252 | Jesse J Johnson | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-01 |
| 1306003355 | Jesse Kendall Johnson | Dentist | 24502 Pacific Park Dr, 106, Aliso Viejo, CA 92656-3033 | 2008-05-19 |
| 1811042930 | Jesse Paul Johnson | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Medsport, Ann Arbor, MI 48105-9755 | 2007-01-25 |
| Street Address |
3201 KINGS HWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806425 | Frimmit L Forman | Radiology | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2005-07-27 |
| 1245839406 | Vivian Zheng | Nurse Practitioner | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-10-20 |
| 1922617588 | Simran Kaur | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-07-29 |
| 1407496094 | Larissa Kuchynska | Registered Nurse | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-01-10 |
| 1104462274 | Olivia Horgan | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-11-22 |
| 1376191791 | Dana Tyler Medina | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-08-28 |
| 1548818974 | Katie Li | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-08-28 |
| 1396307054 | Luz Clotilde Lucero-calabro | Nurse Practitioner | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-07-02 |
| 1184198251 | Jessica Mazile | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-01-11 |
| 1639641913 | Anna Guo | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2018-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517305 | Angenis Lin | Physician Assistant | 1526 83rd St, Brooklyn, NY 11228-3130 | 2020-01-22 |
| 1740848985 | Mallory Des Champs | Physician Assistant | 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 | 2019-06-03 |
| 1588140230 | Sharon Cheptum Griesinger | Physician Assistant | 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 | 2018-07-16 |
| 1336651629 | Francine Panely | Physician Assistant | 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 | 2017-10-26 |
| 1265951479 | Leah Mcmullen | Physician Assistant | 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 | 2017-09-19 |
| 1033655378 | Zacharia El-samin | Physician Assistant | 21 Pine Tree Ter, Brooklyn, CT 06234-3324 | 2017-01-10 |
| 1982156816 | Chad Smartt | Physician Assistant | 988 E 39th St, Brooklyn, NY 11210-3508 | 2016-10-26 |
| 1154870913 | Christina Masaitis | Physician Assistant | 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 | 2016-09-22 |
| 1447615737 | Eliezer Gurkov | Physician Assistant | 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 | 2015-12-31 |
| 1588039846 | Inna Kremen | Physician Assistant | 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 | 2015-12-11 |
| Find all providers in BROOKLYN | ||||
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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.