Mr David Richard Johnson, MS, MSAOM, LAC is a
Acupuncturist based in Ridgewood, New Jersey. Mr David Richard Johnson is licensed to practice in New Jersey (license number 25MZ00053200) and his current practice location is
1156 E Ridgewood Ave, Suite 4, Ridgewood, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(201) 670-8443.
NPI number for Mr David Richard Johnson is 1497804553 and his current mailing address is 63 Summit Ave, Waldwick, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497804553.
Healthcare Provider's Profile
| Full Name | Mr David Richard Johnson |
|---|
| Gender | Male |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 1156 E Ridgewood Ave, Ridgewood, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497804553
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 12/13/2019
Medical Identifiers
Medical identifiers for Mr David Richard Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497804553 | NPI | - | NPPES |
| 25MZ00053200 | Other | NJ | NEW JERSEY ACUPUNCTURE LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 44SW05189900 (New Jersey) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 44SW05189900 (New Jersey) | Secondary |
| 104100000X | Social Worker | 44SW05189900 (New Jersey) | Secondary |
| 171100000X | Acupuncturist | 25MZ00053200 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Richard Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr David Richard Johnson, MS, MSAOM, LAC
63 Summit Ave,
Waldwick, NJ 07463-1915
Ph: (201) 670-8443 | Mr David Richard Johnson, MS, MSAOM, LAC
1156 E Ridgewood Ave, Suite 4,
Ridgewood, NJ 07450-3935
Ph: (201) 670-8443 |
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