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

Dr. Timothy David Johnson

Individual provider Internal Medicine Physician · NPI 1104129204

Dr. Timothy David Johnson is an Emergency Medicine in Berkeley Heights, New Jersey. Graduated from Rutgers School of Dental Medicine in 2005, 21 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
21
Trained at
Rutgers School of Dental Medicine
Licensed in
NJ, NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone: (908) 277-8880
Fax: (908) 277-8796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA09176700 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 256137 (NY)

Record details

NPI number1104129204
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 10, 2010
Last updated in NPPESApril 11, 2019
Mailing address1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 2005 (21 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Berkeley Heights