DR. LAWRENCE REVEL JOHNSON (NPI# 1881616241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881616241 |
Entity Type | Individual |
Full Name | DR. LAWRENCE REVEL JOHNSON |
Credential | M.D. |
Practice Address |
Icon Plc 123 Smith St. Farmingdale NY 11735 |
Mailing Address |
123 Smith St Farmingdale NY 11735-1004 |
Practice Telephone | 6313069808 |
Mailing Telephone | 6313069808 |
Mailing Fax Number | 6312491920 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2018-11-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207ZH0000X |
Pathology Specialization: Hematology |
MD072950L | PA | Allopathic & Osteopathic Physicians |
N | 207ZH0000X |
Pathology Specialization: Hematology |
23736 | OK | Allopathic & Osteopathic Physicians |
N | 207ZI0100X |
Pathology Specialization: Immunopathology |
296540 | NY | Allopathic & Osteopathic Physicians |
N | 207ZP0007X |
Pathology Specialization: Molecular Genetic Pathology |
296540 | NY | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
296540 | NY | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD072950L | PA | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
23736 | OK | Allopathic & Osteopathic Physicians |
Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
296540 | NY | Allopathic & Osteopathic Physicians |
N | 207ZC0008X |
Pathology Specialization: Clinical Informatics |
296540 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
6161 S Yale Ave, Tulsa, OK 741361902 | 9187125571 | |
6565 S Yale Ave Ste 410, Tulsa, OK 741368305 | 9187125570 | 9187477831 |
8606 S Florence Ave, Tulsa, OK 74137 | 9186053727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477682086 | Lawrence A Johnson | Dentist | 1850 W Pointe Dr, Oshkosh, WI 54902-4164 | 2007-03-02 |
1568511863 | Lawrence A Johnson | Chiropractor | 90 Jericho Tpke, Suite 6, Mineola, NY 11501-1845 | 2007-01-09 |
1114015351 | Lawrence L Johnson | Dermatology | 3310 W. Main Street, Suite 115, St. Charles, IL 60175 | 2006-10-11 |
1861410367 | Lawrence Joseph Johnson | Psychologist | 4149 N Holland Sylvania Rd, Suite 6, Toledo, OH 43623-4808 | 2006-07-17 |
1710482005 | Lawrence Brian Johnson | Counselor | 216 W Los Angeles Dr, Vista, CA 92083-3101 | 2018-03-28 |
1144400052 | Lawrence Vincent Johnson Jr. | Pharmacist | 225 Meadowbrook Rd, Jackson, MS 39206-5252 | 2007-11-08 |
1306992714 | Lawrence Bernard Johnson | Pediatrics | 3319 W Belvedere Ave, Baltimore, MD 21215-5103 | 2007-01-26 |
1174550644 | Lawrence F Johnson | Internal Medicine | 619 19th Street South, Birmingham, AL 35233 | 2006-06-28 |
1225003049 | Lawrence P Johnson | Orthopaedic Surgery | 10 Research Pl, Suite 203, North Chelmsford, MA 01863-2439 | 2006-02-23 |
1619968641 | Lawrence Webster Johnson | Internal Medicine | 2400 Hospital Dr Ste 370, Bossier City, LA 71111-2391 | 2005-10-31 |
Street Address |
ICON PLC 123 SMITH ST. |
City | FARMINGDALE |
State | NY |
Zip Code | 11735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073151197 | Center Island Massage PC | Massage Therapist | 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 | 2019-12-19 |
1447736434 | Melanie Clampitt | Occupational Therapy Assistant | 158 Sunset Ave, Farmingdale, NY 11735 | 2018-07-13 |
1841789120 | I-ting Lin | Acupuncturist | 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 | 2018-05-02 |
1447767371 | Nashon Clark | Social Worker | 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 | 2017-12-31 |
1336669639 | Robby Harris | Psychologist | 31 Lincoln Street, Farmingdale, NY 11735 | 2017-06-27 |
1265961544 | Stacey Gouzos | Behavior Technician | 29 Bernard Street, Farmingdale, NY 11735 | 2017-06-08 |
1962856450 | Integrated Medical Interventional Diagnostics PC | Registered Nurse | 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 | 2016-04-20 |
1528433604 | Robert Gerard Jr. | Peer Specialist | 142-02 20th Aveune, Rosedale, NY 11735 | 2015-12-01 |
1750750329 | Glenda Lopez | Case Manager/Care Coordinator | 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 | 2015-09-24 |
1366849911 | Jeffrey Rosa | Counselor | 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 | 2014-11-25 |
Find all providers in zip 11735 |
Taxonomy Code | 207ZP0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Clinical Pathology/Laboratory Medicine |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376945139 | Faisal Huq Ronny | Pathology | 227 Madison St Rm No4.170, New York, NY 10002-7537 | 2014-09-23 |
1457790859 | Smita Chirag Patel | Pathology | 622 W 168th St Ph 15, New York, NY 10032 | 2013-06-19 |
1609135573 | Daniel A Green | Pathology | 622 W 168th St Dept Of, New York, NY 10032-3720 | 2012-05-11 |
1770726994 | Pin Kie Teng | Pathology | 70-20 Ingram Street, Forest Hills, NY 11375 | 2009-04-17 |
1629262522 | Joseph James Woods | Pathology | 482 Manchester Rd, Yorktown Heights, NY 10598-1204 | 2007-09-04 |
1528281821 | Western New York Urology Associates LLC | Pathology | 2732 Transit Rd, West Seneca, NY 14224-2523 | 2007-04-11 |
1164537338 | Yong Mei Yin | Pathology | 141 Combs Ave, Woodmere, NY 11598-1432 | 2006-08-20 |
1134159494 | Joel H Saltz | Pathology | Bst Level 9 Rm 140, Stony Brook, NY 11794-8691 | 2006-07-03 |
1861431777 | Pradeep Prasad Dhital | Pathology | 900 Franklin Avenue, Valley Stream, NY 11580-4164 | 2006-06-06 |
1356389449 | Morayma Reyes Gil | Pathology | 111 E 210th St # 303, Bronx, NY 10467-2401 | 2006-06-02 |
Find all providers with the same taxonomy |
City | FARMINGDALE |
Zip Code | 11735 |
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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.