1467486142 NPI number — WILLIAM EDWARD JOHNSTON MD

Table of content: WILLIAM EDWARD JOHNSTON MD (NPI 1467486142)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467486142 NPI number — WILLIAM EDWARD JOHNSTON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOHNSTON
Provider First Name:
WILLIAM
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467486142
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1020 NO KINGS HWY SUITE 101
Provider Second Line Business Mailing Address:
WILLIAM E JOHNSTON MD PC
Provider Business Mailing Address City Name:
CHERRY HILL
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08034
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-482-6464
Provider Business Mailing Address Fax Number:
856-482-5314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1020 NO KINGS HWY SUITE 101
Provider Second Line Business Practice Location Address:
WILLIAM E JOHNSTON MD PC
Provider Business Practice Location Address City Name:
CHERRY HILL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-482-6464
Provider Business Practice Location Address Fax Number:
856-482-5314
Provider Enumeration Date:
07/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  25MA04072000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5911524 . This is a "MANAGE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2108928001 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 45001 . This is a "PERSONAL CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 17660 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8951074002 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: K3348 . This is a "HORIZON" identifier . This identifiers is of the category "OTHER".
  • Identifier: P646982 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2K1967 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 94885 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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