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CANDACE L JOHNSON M.D.
NPI 1417242553
Pediatrics - Pediatric Infectious Diseases in New York, NY

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3959 BROADWAY, SUITE 106, NEW YORK, NY 10032(212) 305-6490(212) 342-5218 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2017, Jan 28, 2016 (2 updates tracked since 2016).

About Candace L Johnson M.d. NPPES

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

CANDACE L JOHNSON M.D. (NPI 1417242553) is an individual pediatric infectious diseases provider in New York, New York, licensed in New York (276035) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2011).

NPPES Registry Identity

NPI1417242553
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameCANDACE L JOHNSONCredential: M.D.
Location Address3959 BROADWAY, SUITE 106New York, NY 10032-1559
Mailing Address622 W 168th St, Ph4-474New York, NY 10032-3720 · (212) 305-6490 · Fax (212) 342-5218
Phone(212) 305-6490
Fax(212) 342-5218
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2011
Enumeration DateJune 16, 2011
Last NPPES UpdateMarch 21, 20172 updates tracked since enumeration
✔ NPI 1417242553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in NY · 276035
Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Also ListedPediatricsTaxonomy 208000000X · License 276035 (NY)
3959 BROADWAY, New York, NY 10032
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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

Candace L Johnson M.d. 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 ID5395974935
PECOS Enrollment IDI20170711001114
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. PAMELA ISABEL GOOD M.D.
Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
HAE LIN SON
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
New York County (201) 696-5960
ELIZABETH ANN BADER
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5437
HYO JIN CHO MD
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
DR. DAVID RUBENSTEIN
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
New York County (212) 304-7250
MS. MEREDITH GAROD-MUSIC CPNP
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 342-8530
EVIANNA CRUZ HERRERA MD/MPH
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5903
SARA BOMBONATO OTR/L
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5827

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 Candace Johnson's NPI number?

The NPI number for Candace Johnson is 1417242553. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Candace Johnson located?

Candace Johnson practices at 3959 Broadway Suite 106, New York, NY 10032. The listed phone number is (212) 305-6490.

What is Candace Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Candace Johnson enrolled in Medicare?

Yes. Candace Johnson 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 Candace Johnson was last updated on March 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.