Sara J Johnson
Rheumatology
315 E Middle Country Rd
Smithtown
, New York 11787-2829
Sara J Johnson
Rheumatology
315 E Middle Country Rd
Smithtown
, New York 11787-2829
(631) 360-1546
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Sara J Johnson
- 315 Middle Country Rd
- Smithtown, NY
- Zip : 11787-2817
- Fax : (631) 360-1546
- Phone : (631) 656-7161
Second Address
- Sara J Johnson
- 315 E Middle Country Rd
- Smithtown, NY
- Zip : 11787-2829
- Fax : (631) 360-1546
- Phone : (631) 360-7778
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 133527 | NY |
National Provider Identifier
| NPI | 1043206964 |
|---|---|
| Provider Name | Sara J Johnson |
| First Address | Smithtown, NY 11787-2817 |
| Second Address | Smithtown, NY 11787-2829 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2005 |
| Last Update Date | 19/05/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01049623 | (05) | NY |
| C05529 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.