Individual
MILLISAUN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 BERGEN AVE, JERSEY CITY, JERSEY CITY, NJ 07304
(201) 451-5137
Mailing address
408 BERGEN AVE, JERSEY CITY, JERSEY CITY, NJ 07304-2202
(201) 451-5137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD426038
PA
208M00000X
Hospitalist Physician
Primary
MD426038
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101656810-01
AMERICHOICE-TC
PA
05
—
1016568100001
—
PA
05
—
1016568100002
—
PA
01
—
1872726
HIGHMARK BLUE SHIELD
PA
01
—
2732298000
KEYSTONE IBC
PA
01
—
30034506
KEYSTONE MERCY
PA
01
—
34936
HEALTH PARTNERS
PA
01
—
34937
HEALTH PARTNERS - BUCKS
PA
Enumeration date
06/08/2006
Last updated
08/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us