DR. BEVERLY JOHNSON (NPI# 1336306992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336306992 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY JOHNSON |
| Credential | MD |
| Practice Address |
1400 Pelham Parkway South Jacobi Medical Center Room 3n-06 Bronx NY 10461-1197 |
| Practice Telephone | 7189183015 |
| Practice Fax Number | 7189187460 |
| Mailing Telephone | 7189183015 |
| Mailing Fax Number | 7189187460 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2014-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 247479 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891137873 | Beverly C Johnson | Hospice Care, Community Based | 116 S Edward Avenue, Mound Bayou, MS 38762 | 2013-07-19 |
| 1043578164 | Beverly Ann Johnson | Adult Companion | 5304 Yaroley Ter., Durham, NC 27707 | 2012-04-26 |
| 1336410281 | Beverly S Johnson | Physical Therapy Assistant | 2443 Watkins Grove Pt, Greensboro, NC 27406-9034 | 2012-01-24 |
| 1295973691 | Beverly Berganos Johnson | Physician Assistant | 8160 Walnut Hill Ln Ste 200, Dallas, TX 75231-4340 | 2009-01-23 |
| 1942337795 | Beverly J Johnson | Licensed Practical Nurse | 109 Center St, Caledonia, OH 43314-9493 | 2007-02-28 |
| 1053482216 | Beverly Johnson | Speech-Language Pathologist | 710 Carpenter Fletcher Rd, Durham, NC 27713-1940 | 2006-11-10 |
| 1295836492 | Beverly Jean Johnson | Psychologist | 5275 Edina Industrial Blvd Ste 124, Edina, MN 55439-2903 | 2006-09-26 |
| 1669489639 | Beverly C Johnson | Family Medicine | 10220 Dixie Beeline Hwy, Guthrie, KY 42234 | 2006-08-02 |
| 1295717627 | Beverly Ann Johnson | Nurse Practitioner | 4400 Goss Rd, Redstone Arsenal, AL 35809 | 2005-11-20 |
| 1265058028 | Beverly Johnson | Social Worker | 2580 Victor Ave Ste C, Redding, CA 96002-1455 | 2020-06-17 |
| Street Address |
1400 PELHAM PARKWAY SOUTH JACOBI MEDICAL CENTER ROOM 3N-06 |
| City | BRONX |
| State | NY |
| Zip Code | 10461-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033253166 | Jacobi Medical Center | Clinic/Center | 1400 Pelham Parkway South Jacobi Medical Center, 1400 Pelham Parkway, Acp, 5th Floor, Rm A32, Bronx, NY 10461 | 2007-02-20 |
| 1457962292 | Sanjana Nagraj | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2020-08-14 |
| 1790306538 | Hyomin Lim | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2020-05-04 |
| 1588227888 | Weijia Li | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-22 |
| 1952861346 | Helen Sheng | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1144794314 | Mohammed Shofiullah Shibli | Internal Medicine | 2500 Frisby Ave Apt 24d, Bronx, NY 10461-3247 | 2019-01-21 |
| 1740781905 | Bk Medical Care P.c | Internal Medicine | 2000 Mcgraw Ave, Bronx, NY 10462-8070 | 2018-02-23 |
| 1043738586 | Diabetes Relief Center of Bronx Mso LLC | Internal Medicine | 2825 3rd Ave Ste 200, Bronx, NY 10455-4066 | 2017-09-05 |
| 1790137388 | Sabrina Brana | Internal Medicine | 4422 Third Ave Mills Bldg 3rd, Bronx, NY 10457 | 2016-07-07 |
| 1386096345 | Christopher James Brana | Internal Medicine | 4422 Third Ave, Mills Bldg 3rd, Bronx, NY 10457 | 2016-07-01 |
| 1982068078 | Silvio Goris | Internal Medicine | 3400 Tibbett Ave, Apt 2f, Bronx, NY 10463-3766 | 2016-04-05 |
| 1710349816 | Rikhil S Kochhar | Internal Medicine | 3010 Grand Concourse Apt L3, Bronx, NY 10458-1534 | 2016-03-28 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in BRONX | ||||
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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.