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STEPHANIE JOHNSON P.A.
NPI 1104135052
Physician Assistant in Liverpool, NY

Active since September 27, 2010
5046 BETSY ROSS WAY, LIVERPOOL, NY 13088(315) 956-0900 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie Johnson P.a. NPPES

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

STEPHANIE JOHNSON P.A. (NPI 1104135052) is an individual physician assistant in Liverpool, New York, licensed in New York (014259) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1104135052
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE JOHNSONCredential: P.A.
Location Address5046 BETSY ROSS WAYLiverpool, NY 13088-5933
Mailing Address5046 Betsy Ross WayLiverpool, NY 13088-5933 · (315) 956-0900
Phone(315) 956-0900
Sole ProprietorNo
Enumeration DateSeptember 27, 2010
Last NPPES UpdateJuly 6, 2021
NPPES CertifiedJuly 6, 2021
✔ NPI 1104135052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 014259✔ Licensed in FL · 9108630✔ Licensed in AZ · 4777
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5046 BETSY ROSS WAY, Liverpool, NY 13088
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Other Names 1

Professional Name (2)Stephanie Johnson Pa

Other Identifiers 1

Medicaid03537042NY

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 Stephanie Johnson's NPI number?

The NPI number for Stephanie Johnson is 1104135052. It was assigned to this individual provider in the NPPES registry on September 27, 2010. The provider is also known as Stephanie Johnson PA.

Where is Stephanie Johnson located?

Stephanie Johnson practices at 5046 Betsy Ross Way, Liverpool, NY 13088. The listed phone number is (315) 956-0900.

What is Stephanie Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Johnson was last updated on July 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.