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TYRONE JOHNSON DPM
NPI 1477746543
Podiatrist - Foot & Ankle Surgery in Brooklyn, NY

Active since August 22, 2007PECOS EnrolledAccepts Medicare Assignment
1040 DEAN ST APT 714, BROOKLYN, NY 11238(516) 305-7951(929) 298-7367 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyrone Johnson Dpm NPPES

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

TYRONE JOHNSON DPM (NPI 1477746543) is an individual foot & ankle surgery provider in Brooklyn, New York, licensed in New York (65 006234) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2005).

NPPES Registry Identity

NPI1477746543
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTYRONE JOHNSONCredential: DPM
Location Address1040 DEAN ST APT 714Brooklyn, NY 11238-3484
Mailing Address1040 Dean St Apt 714Brooklyn, NY 11238-3484 · (516) 305-7951 · Fax (929) 298-7367
Phone(516) 305-7951
Fax(929) 298-7367
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2005
Enumeration DateAugust 22, 2007
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1477746543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · 65 006234
Also ListedSpecialistTaxonomy 174400000X · License 006234 (NY)
Also ListedPodiatristTaxonomy 213E00000X · License 006234 (NY)
1040 DEAN ST APT 714, Brooklyn, NY 11238
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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

Tyrone Johnson Dpm 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 ID8921193053
PECOS Enrollment IDI20071003000722
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.

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 Tyrone Johnson's NPI number?

The NPI number for Tyrone Johnson is 1477746543. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Tyrone Johnson located?

Tyrone Johnson practices at 1040 Dean St Apt 714, Brooklyn, NY 11238. The listed phone number is (516) 305-7951.

What is Tyrone Johnson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Tyrone Johnson enrolled in Medicare?

Yes. Tyrone 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 Tyrone Johnson was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.