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

David Gardner Johnson

Individual provider Nurse Practitioner · NPI 1205301496

David Gardner Johnson is a Nurse Practitioner in Rochester, New York. Qualified in 2018, 8 years ago. Practices with Rochester General Hospital, a 1,197-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3095
Phone: (585) 922-3327
Fax: (585) 922-3835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 343646 (NY)

Record details

NPI number1205301496
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address100 Kings Hwy S, Rochester, NY 14617-5504

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rochester