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

Dr. Johanna Deossa, MD

Individual provider Physician Assistant · NPI 1669078440

Dr. Johanna Deossa, MD is a Physician Assistant in New York, New York. Licensed in Puerto Rico. Registered with an NPI since 2020.

Licensed in
PR
In the registry since
2020
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

116 E 36th St
New York, NY 10016-3402
Phone: (212) 686-6329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 000067-P.A. (PR)

Record details

NPI number1669078440
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2020
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022

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