Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M Johnson MD

Organization Obstetrics & Gynecology Physician · NPI 1417259623

Lisa M Johnson MD is an Obstetrics & Gynecology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

907 5th Ave Ste 1E
New York, NY 10021-4156
Phone: (212) 861-2564
Fax: (212) 517-6499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 206723 (NY)

Record details

NPI number1417259623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Johnson — Physician · (212) 861-2564
NPI enumeratedNovember 19, 2010
Last updated in NPPESNovember 19, 2010
Mailing address907 5th Ave, Ste 1e, New York, NY 10021-4156

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