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

Archiebold Johnson, MD

Individual provider Anesthesiology Physician · NPI 1720440795

Archiebold Johnson, MD is an Anesthesiology in Bronx, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2012, 14 years ago. Practices with New Jersey Healthcare Specialists PC, a 573-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4316
Fax: (718) 881-2245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 304245 (NY)

Record details

NPI number1720440795
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESNovember 30, 2020
Certification dateNovember 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice New Jersey Healthcare Specialists Pc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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