ELIZA JOHNSON BSRT(R), RN, CPNP-PC
NPI 1558199638
Nurse Practitioner - Pediatrics in Queens, NY

Active since July 22, 2024
47-01 QUEENS BLVD, #303, QUEENS, NY 11104(718) 707-3434 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Eliza Johnson Bsrt(r), Rn, Cpnp-pc NPPES

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

ELIZA JOHNSON BSRT(R), RN, CPNP-PC (NPI 1558199638) is an individual pediatrics provider in Queens, New York, licensed in New York (383686) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1558199638
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameELIZA JOHNSONCredential: BSRT(R), RN, CPNP-PC
Location Address47-01 QUEENS BLVD, #303Queens, NY 11104
Mailing Address245 E 40th St Apt 18eNew York, NY 10016-1717
Sole ProprietorNo
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
NPI 1558199638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NY · 383686
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 383686 (NY)
47-01 QUEENS BLVD, Queens, NY 11104

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 Eliza Johnson's NPI number?

The NPI number for Eliza Johnson is 1558199638. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Eliza Johnson located?

Eliza Johnson practices at 47-01 Queens Blvd #303, Queens, NY 11104. The listed phone number is (718) 707-3434.

What is Eliza Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Eliza Johnson was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.