JOHNNY LARSEN DO
NPI 1417976341
Emergency Medicine in Lakewood, NJ

Active since July 19, 2006PECOS Enrolled
600 RIVER AVE, KIMBALL MEDICAL CENTER, LAKEWOOD, NJ 08701(732) 363-1900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnny Larsen Do NPPES

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

JOHNNY LARSEN DO (NPI 1417976341) is an individual emergency medicine provider in Lakewood, New Jersey, licensed in New Jersey (25MB05391100) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417976341
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHNNY LARSENCredential: DO
Location Address600 RIVER AVE, KIMBALL MEDICAL CENTERLakewood, NJ 08701-5237
Mailing AddressPo Box 717Livingston, NJ 07039-0717 · (973) 740-0607
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417976341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NJ · 25MB05391100
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
600 RIVER AVE, Lakewood, NJ 08701

Other Identifiers 2

Medicare UPINE66614NJ
Medicare ID-Type Unspecified640211NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Johnny Larsen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Cardiovascular Disease)
600 RIVER AVE
LAKEWOOD, NJ 08701
Pediatrics
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Emergency Medicine
600 RIVER AVE, KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701
Emergency Medicine
600 RIVER AVE, KIMBALL MEDICAL CENTER
LAKEWOOD, NJ 08701
Nurse Practitioner
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701
Nurse Practitioner (Family)
600 RIVER AVE
LAKEWOOD, NJ 08701

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 Johnny Larsen's NPI number?

The NPI number for Johnny Larsen is 1417976341. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Johnny Larsen located?

Johnny Larsen practices at 600 River Ave Kimball Medical Center, Lakewood, NJ 08701. The listed phone number is (732) 363-1900.

What is Johnny Larsen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Johnny Larsen enrolled in Medicare?

Yes. Johnny Larsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny Larsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.