JOHNSON EXANTUS LPN
NPI 1073890729
Licensed Practical Nurse in Deer Park, NY

Active since November 09, 2011
60 CROWN ST, DEER PARK, NY 11729(631) 392-0199 Get Directions Write a Review

NPPES record last updated: November 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnson Exantus Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNSON EXANTUS LPN (NPI 1073890729) is an individual licensed practical nurse in Deer Park, New York, licensed in New York (301511) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1073890729
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJOHNSON EXANTUSCredential: LPN
Location Address60 CROWN STDeer Park, NY 11729-6921
Mailing Address60 Crown StDeer Park, NY 11729-6921 · (631) 392-0199
Sole ProprietorNo
Enumeration DateNovember 9, 2011
NPI 1073890729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 301511
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

60 CROWN ST, Deer Park, NY 11729

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
60 CROWN ST
DEER PARK, NY 11729

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnson Exantus's NPI number?

The NPI number for Johnson Exantus is 1073890729. It was assigned to this individual provider in the NPPES registry on November 9, 2011.

Where is Johnson Exantus located?

Johnson Exantus practices at 60 Crown St, Deer Park, NY 11729. The listed phone number is (631) 392-0199.

What is Johnson Exantus's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Johnson Exantus was last updated on November 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.