ANDREW JOHNSON (NPI# 1386610319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386610319 |
| Entity Type | Individual |
| Full Name | ANDREW JOHNSON |
| Credential | DO |
| Practice Address |
300 2nd Ave Long Branch NJ 07740-6303 |
| Mailing Address |
68 S Service Rd Ste 350 Melville NY 11747-2354 |
| Practice Telephone | 7322225200 |
| Mailing Telephone | 5169453357 |
| Mailing Fax Number | 5169453131 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2015-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 25MB07617400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MB07617400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DEA | BJ8483339 | 01 |
| NJ | 0146960 | 05 | |
| PA | DEA NUMBER | BJ8483339 | 01 |
| NJ | LICENCE | 25MB07617400 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366981938 | Andrew Ho'ola'iku Johnson | Dentist | 45-943 Kamehameha Hwy Ste 201, Kaneohe, HI 96744 | 2017-02-15 |
| 1477904134 | Andrew Johnson | Nurse Practitioner | 9532 Volga Dr, Commerce Township, MI 48382-3666 | 2016-06-23 |
| 1184072209 | Andrew David Johnson | Internal Medicine | 999 Guardian Way, Cookeville, TN 38506-0680 | 2016-05-31 |
| 1821402736 | Andrew Johnson | General Practice | White Street Bldg As-100, Mcas New River, Jacksonville, NC 28545-0000 | 2014-06-18 |
| 1528471117 | Andrew Johnson | Specialist/Technologist | 4575 Lawrenceville Hwy Nw, Lilburn, GA 30047-3617 | 2014-06-11 |
| 1982951653 | Andrew Keith Johnson | Physical Therapist | 6841 Mountain View Rd., Ooltewah, TN 37363 | 2012-08-13 |
| 1619208600 | Andrew Johnson | Emergency Medical Technician, Basic | 5452 Bancroft Ave, Apt 105, Oakland, CA 94601-5839 | 2010-01-15 |
| 1447435854 | Andrew Loren Johnson | Emergency Medical Technician, Basic | 111 W. Harrison St, Seattle, WA 98119 | 2008-01-03 |
| 1881881936 | Andrew F Johnson | Physical Therapist | 10907 I-10 East, Houston, TX 77029-1911 | 2007-10-02 |
| 1508069980 | Andrew Robert Johnson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # L-605, Portland, OR 97239-3011 | 2007-06-06 |
| Street Address |
300 2ND AVE |
| City | LONG BRANCH |
| State | NJ |
| Zip Code | 07740-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246048 | Kathleen L Mcdonald | Radiology | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2005-06-27 |
| 1992302798 | Shannon Margaret Kirk | Nurse Practitioner | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-10-05 |
| 1487267241 | Poonam Raut | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-30 |
| 1356952261 | Arundhati Chandini Arjun | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-13 |
| 1811507395 | Charmee Hitesh Vyas | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-09 |
| 1235749839 | Tiwadayo Sam-odusina | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-07 |
| 1740890508 | Rama Maghnam | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-08-06 |
| 1831708239 | Kimberly Lily Pereira | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-31 |
| 1407465818 | Niharika Podaralla | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-31 |
| 1003425505 | Michelle Woodfield | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6395 | 2020-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789563 | Lauryn Elaine Balestiero | Social Worker | 75 North Bath Avenue, Long Branch, NJ 07740 | 2018-11-14 |
| 1063991768 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 96 Church St. Apt. 317, Aberdeen, NJ 07740 | 2018-08-13 |
| 1649765785 | Tatiana Nuzum | Student in an Organized Health Care Education/Training Program | 300 2nd Ave # Sw209, Long Branch, NJ 07740 | 2018-06-29 |
| 1558862466 | Melissa Gagliardi | Social Worker | 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 | 2018-02-26 |
| 1871966879 | Caringhouse Projects, Inc | Respite Care | 218 Highland Avenue, Long Branch, NJ 07740 | 2015-11-12 |
| 1083096556 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 73a Dudley St., Long Branch, NJ 07740 | 2015-06-22 |
| 1629450101 | Jonathan Kristan | Ophthalmology | 279 3rd Ave Ste 204, Long Branch, NJ 07740 | 2015-06-22 |
| 1730510769 | Elizabeth Worth | Registered Nurse | 63dunbar Ave, Long Branch, NJ 07740 | 2013-12-02 |
| 1710231022 | Pasquale Evangelista | Radiology | 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 | 2012-11-08 |
| 1326314162 | John Way Chin | Pharmacy | 134 Brighton Avenue, Long Branch, NJ 07740 | 2012-03-27 |
| Find all providers in zip 07740 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802220 | Spine & Pain Institute of New Jersey | Pain Medicine | 757 Route 202-206, Suite 104, Bridgewater, NJ 08807-0880 | 2020-08-18 |
| 1225680796 | Nj Interventional Pain Management LLC | Pain Medicine | 560 Hudson St Ste 301, Hackensack, NJ 07601-6655 | 2019-07-15 |
| 1780246017 | Premier Pain Centers, LLC | Pain Medicine | 1430 Hooper Ave Ste 205, Toms River, NJ 08753-2895 | 2019-07-08 |
| 1083271134 | Us Functional, LLC | Pain Medicine | 813 E Gate Dr Ste C, Mount Laurel, NJ 08054-1238 | 2019-05-23 |
| 1770043515 | Healthcare Pain Centers LLC | Pain Medicine | 362 Us Highway 9 Unit 203, Englishtown, NJ 07726-9224 | 2019-03-20 |
| 1780165829 | Premier Pain Centers, LLC. | Pain Medicine | 561 Cranbury Rd Ste 1, East Brunswick, NJ 08816-5400 | 2018-08-27 |
| 1063993103 | Premier Pain Centers, LLC. | Pain Medicine | 150 Chambers Bridge Rd Ste 201, Brick, NJ 08723-3491 | 2018-08-27 |
| 1720592942 | Pain Associates of Bergen County LLC | Pain Medicine | 294 State Street, Suite 2, Hackensack, NJ 07601 | 2017-11-27 |
| 1811421696 | Precision Spine & Sports Medicine Inc | Pain Medicine | 1346 How Ln Ste 107, North Brunswick, NJ 08902-1728 | 2017-04-18 |
| 1063879971 | Central Pain and Wellness | Pain Medicine | 725 Mill St, Moorestown, NJ 08057-1803 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
| City | LONG BRANCH |
| Zip Code | 07740 |
Please comment or provide details below to improve the information on ANDREW JOHNSON.
| 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.