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

Individual provider Emergency Medicine Physician · NPI 1699111005

Dr. Malcolm Johnson, MD is an Emergency Medicine in Astoria, New York. Qualified in 2013, 13 years ago. Practices with Lake Spring Emergency Group LLC, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
13
Licensed in
CT, NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Mount Sinai Medical Center 25-10 30th Ave
Astoria, NY 11102
Phone: (718) 932-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 York St # T-209, New Haven, CT 06510-3220 — (203) 785-5174

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 288266 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 55804 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CT)

Record details

NPI number1699111005
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 13, 2013
Last updated in NPPESAugust 15, 2025
Certification dateAugust 13, 2025
Mailing addressMt Sinai Hosptial, 25-10 30th Ave, Astoria, NY 11102

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lake Spring Emergency Group Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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