Individual
MICHAEL NORMAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 LOCKWOOD AVE, SUITE 28, NEW ROCHELLE, NY 10801
(914) 633-7870
(914) 633-7626
Mailing address
150 LOCKWOOD AVE, SUITE 28, NEW ROCHELLE, NY 10801
(914) 633-7870
(914) 633-7626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
189003
NY
207RC0000X
Cardiovascular Disease Physician
189003
NY
207RI0011X
Interventional Cardiology Physician
Primary
189003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01226962
UNITED
—
05
—
01363299
—
NY
01
—
0D0933
PHS
—
01
—
17742
HHP
—
01
—
31257P
HIP
—
01
—
4251712
AETNA
—
01
—
4536557013
CIGNA
—
01
—
538650
AETNA HMO
—
01
—
W5388
OXFORD
—
Enumeration date
08/11/2006
Last updated
09/11/2025
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