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

Denise Johnson

Individual provider Family Nurse Practitioner · NPI 1033531595

Denise Johnson is a Nurse Practitioner in Queens, New York. Qualified in 2019, 7 years ago. Practices with N Dladla MD PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2014

Practice location Address checks out

128 02 111 Th Ave
Queens, NY 11420
Phone: (347) 306-5064
Fax: (347) 905-4507
Show map & directions

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

Additional practice locations (1)

  • 2015 Grand Concourse, Bronx, NY 10453-4303 — (718) 299-7295

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 345587 (NY)

Record details

NPI number1033531595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 16, 2014
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 26, 2025
Mailing address12802 111th Ave, South Ozone Park, NY 11420-1607

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice N Dladla Md Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Queens