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KEVIN W JOHNSTON NP
NPI 1194122267
Nurse Practitioner - Adult Health in South Setauket, NY

Active since December 04, 2014
33 TIMBERCREST LN, SOUTH SETAUKET, NY 11720(631) 922-5900(631) 675-9002 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin W Johnston Np NPPES

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

KEVIN W JOHNSTON NP (NPI 1194122267) is an individual adult health provider in South Setauket, New York, licensed in New York (F309196) and active in the NPI registry since December 2014. He maintains a secondary practice location in East Setauket.

NPPES Registry Identity

NPI1194122267
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameKEVIN W JOHNSTONCredential: NP
Location Address33 TIMBERCREST LNSouth Setauket, NY 11720-1243
Mailing Address33 Timbercrest LnSouth Setauket, NY 11720-1243 · (631) 922-5900 · Fax (631) 675-9002
Phone(631) 922-5900
Fax(631) 675-9002
Sole ProprietorYes
Enumeration DateDecember 4, 2014
Last NPPES UpdateDecember 3, 2019
✔ NPI 1194122267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F309196
Also ListedRegistered NurseTaxonomy 163W00000X · License 689209 (NY)
33 TIMBERCREST LN, South Setauket, NY 11720
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Secondary Practice Location 1

Location 128 Jones St, Suite 101East Setauket, NY 11733-2941 · Phone (631) 922-5900 · Fax (631) 675-9002

Other Identifiers 1

OtherF309196NY · Ny State Office Of Professions

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 Kevin Johnston's NPI number?

The NPI number for Kevin Johnston is 1194122267. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Kevin Johnston located?

Kevin Johnston practices at 33 Timbercrest Ln, South Setauket, NY 11720. The listed phone number is (631) 922-5900.

What is Kevin Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kevin Johnston was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.