1. Home
  2. Directory
  3. New York
  4. Port Jefferson Station
  5. Specialist
  6. NPI Profile

SHIRLEY JOHNSON-HALL MD
NPI 1265591952
Specialist in Port Jefferson Station, NY

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
931 HALLOCK AVENUE, PORT JEFFERSON STATION, NY 11776(631) 331-7200(631) 331-8636 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shirley Johnson-hall Md NPPES

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

SHIRLEY JOHNSON-HALL MD (NPI 1265591952) is an individual specialist in Port Jefferson Station, New York, licensed in New York (234410) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1999).

NPPES Registry Identity

NPI1265591952
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSHIRLEY JOHNSON-HALLCredential: MD
Location Address931 HALLOCK AVENUEPort Jefferson Station, NY 11776
Mailing Address931 Hallock AvenuePort Jefferson Station, NY 11776 · (631) 331-7200 · Fax (631) 331-8636
Phone(631) 331-7200
Fax(631) 331-8636
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1999
Enumeration DateDecember 8, 2006
Last NPPES UpdateMay 7, 2015
✔ NPI 1265591952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 234410
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
931 HALLOCK AVENUE, Port Jefferson Station, NY 11776
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI29605NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shirley Johnson-hall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820030851
PECOS Enrollment IDI20050531000625
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
16 services16 patients

Other Providers at the Same Location NPPES 2

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

DR. CHARLES A ALBERT MD
Specialist
931 HALLOCK AVENUE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-7200
DR. FRANCO GALLO MD
Specialist
931 HALLOCK AVENUE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-7200

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 Shirley Johnson-hall's NPI number?

The NPI number for Shirley Johnson-hall is 1265591952. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Shirley Johnson-hall located?

Shirley Johnson-hall practices at 931 Hallock Avenue, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-7200.

What is Shirley Johnson-hall's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shirley Johnson-hall enrolled in Medicare?

Yes. Shirley Johnson-hall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shirley Johnson-hall was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.