Organization
WEST ORANGE MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALAN JOHNSON MD (OWNER/PHYSICIAN)
(845) 649-3864
Entity
Organization
Contact information
Practice address
111 WHEATFIELD DR, SUITE 2, MILFORD, PA 18337-7697
(845) 294-4350
(845) 294-4333
Mailing address
PO BOX 3140, PORT JERVIS, NY 12771-0243
(845) 649-3863
(845) 856-5439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33086
NY
207RP1001X
Pulmonary Disease Physician
Primary
206842
NY
207RP1001X
Pulmonary Disease Physician
MD061877L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018601600004
MEDICAID
PA
05
—
02161270
—
NY
01
—
045622PN3
PA MEDICARE
PA
01
—
7856407
NJ MEDICAID
NJ
01
—
CN5462
RR MEDICARE
NY
01
—
WE622951
PA BLUE SHIELD
PA
Enumeration date
07/18/2006
Last updated
07/27/2023
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