LAKEIA D JOHNSON PA-C
NPI 1912196353
Physician Assistant - Surgical in Newark, NJ

Active since October 22, 2007PECOS EnrolledAccepts Medicare Assignment
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5000 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeia D Johnson Pa-c NPPES

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

LAKEIA D JOHNSON PA-C (NPI 1912196353) is an individual surgical provider in Newark, New Jersey, licensed in New Jersey (25MP00158500) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1912196353
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLAKEIA D JOHNSONCredential: PA-C
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address434 Hollywood AveHillside, NJ 07205-2716 · (908) 400-1996
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 22, 2007
NPI 1912196353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00158500
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 25MP00158500 (NJ)
111 CENTRAL AVE, Newark, NJ 07102

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

Lakeia D Johnson Pa-c 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 ID1254406135
PECOS Enrollment IDI20080813000114
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 6

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.
47 services42 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.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services15 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
13 services11 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

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.

Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102

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 Lakeia Johnson's NPI number?

The NPI number for Lakeia Johnson is 1912196353. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Where is Lakeia Johnson located?

Lakeia Johnson practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5000.

What is Lakeia Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lakeia Johnson enrolled in Medicare?

Yes. Lakeia 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 Lakeia Johnson was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.